DR 1305E (08/23/13)
*131305E=19999*
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0005
Gross Conservation Easement
Credit Transfer Schedule
Tax Credit Certificate Number
Last Name or Business Name
First Name
Middle Initial
987kljhkjhkhkjh
kjhkjhkljh
987987987
h
SSN
Colorado Account Number
FEIN
Tax Year Ending
394-90-6785
987987987
987987987
2013
Part E: Donor’s Transfer Of Credit
Complete this part if you transferred credit for this tax
any subsequent members. A disregarded entity not filing
year. The validity of each credit share depends on a return
a return should only be listed parenthetically with its filing
being filed with form DR 1305 for the donor(s), including
taxpayer.
22. Detail of credit you transferred from this donation for this tax year. Total must equal Line 15.
Colorado Account
Date of
Name of Transferee
SSN
Amount of Credit
Number
Transfer
$
Bob Smith
123-45-6789
9872349871234987
11/11/11
24,890.67
$
24,890.67
Bob Smith
123-45-6789
11/11/11
9872349871234987
$
24,890.67
Bob Smith
123-45-6789
11/11/11
9872349871234987
$
11/11/11
24,890.67
Bob Smith
123-45-6789
9872349871234987
$
24,890.67
Bob Smith
123-45-6789
9872349871234987
11/11/11
$
24,890.67
Bob Smith
123-45-6789
11/11/11
9872349871234987
$
11/11/11
24,890.67
Bob Smith
123-45-6789
9872349871234987
$
11/11/11
24,890.67
Bob Smith
123-45-6789
9872349871234987
$
24,890.67
11/11/11
Bob Smith
123-45-6789
9872349871234987
$
Bob Smith
123-45-6789
11/11/11
24,890.67
9872349871234987
$
11/11/11
24,890.67
Bob Smith
123-45-6789
9872349871234987
Photocopy and submit additional pages as needed.
For additional information regarding the gross conservation easement credit, see FYI Income 39 and the
Tax Information Index at or contact the Department of Revenue at 303-238-7378.