DR 1304 (01/04/13)
DR 1304 (01/04/13) Web
COLORADO DEPARTMENT OF REVENUE
COLORADO DEPARTMENT OF REVENUE
Vendor ID
DENVER, CO 80261-0005
DENVER, CO 80261-0005
Gross Conservation Easement
Public Information Schedule
The donor(s) claiming a Colorado gross conservation easement credit (including a pass–through entity and each share-
holder, partner, or member) must submit this form for the first year the credit is claimed. Transferees of the credit should
not file this form.
Submit this form at:
The information provided on page 1 is public information. To access all viewing and reporting options, visit the Featured
Pages menu and select Gross Conservation Easements at .
1. Tax credit you are claiming. Enter the total amount of Colorado tax credit claimed for the easement donation, including credits sold to a third party.
Joint donors and members of a pass-through entity must enter their proportionate share of the total credit claimed. $
2. Organization holding the easement
3. Year of donation
Location of property on which the easement was donated
4. County(s)
Township(s)
Range(s)
Number of acres
5. Mark the conservation purpose(s) Preserved by the easement, as defined in § 170(h) of the Internal Revenue Code.
Land areas for outdoor recreation by, or the education of, the general public
Relatively natural habitat of fish, wildlife, or plants, or similar ecosystem
Open space (including farmland and forest land)
Historically important land area or a certified historic structure