Form Dr 0900p - 2012 Pass-Through Entity Income Tax Payment Voucher printable pdf download

DR 0900P (01/07/13)

Web

COLORADO DEPARTMENT OF REVENUE

DENVER CO 80261-0008

2012 Pass-Through Entity Income Tax Payment Voucher

Caution!

This form MUST accompany your payment if you filed electronically and wish to pay by check.

The Department strongly recommends that you file using Revenue Online ( ) or

another electronic method and remit your payment electronically or by EFT. Information on EFT can be found at

If you cannot file and pay online, you may pay by mail. Make check or money order payable to the Colorado Department

of Revenue. Be sure to round your payment to the nearest dollar. Clearly write your Colorado Account Number and “2012

Form 106” on the check memo line.

Complete the form below. The amount on the check and the amount entered on the payment voucher must be the same.

This will help maintain accuracy in your tax account. Be sure to keep a copy of the money order or note the check number

with your tax records.

DO NOT submit a paper return if you have already filed electronically.

Manage your account.

File and pay online.

Get started with Revenue Online today!

Use the coupon below only if you cannot pay online or by EFT.

DETACH FORM

ON THIS LINE

Cut here and send only the coupon below. Help us save time and your tax dollars.

(0041)

2012 Pass-Through Entity Income Tax

DR 0900P (11/21/12) Web

DR 0900P (01/07/13)

COLORADO DEPARTMENT OF REVENUE

Payment Voucher

For the calendar year 2012 or the fiscal year: Start Date: ___________________, 2012 End Date: ___________________, 20___.

Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your Colorado Account Number or

Federal Employer Identification Number and “2012 FORM 106” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with

this voucher. File only if you are making a payment of estimated tax.

Name

Colorado Account Number

Address

Federal Employer Identification Number

City

State

ZIP

IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM.

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the

Amount of Payment

same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected