Form Dr 0158-I - Extension Payment Voucher For Colorado Individual Income Tax - 2012

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DR 0158-I (08/22/12)

COLORADO DEPARTMENT OF REVENUE

Automatic Filing Extension

Denver CO 80261-0008

General Information

Persons Traveling or Residing Abroad

If you are unable to file your Colorado income tax return by

If you are traveling or residing outside the United States

April 15, 2013, you may file under extension. This means

on April 15, the deadline for filing your return is June 17,

you may file your return by October 15, 2013. There is no

2013. If you need additional time to file your return, you will

form to submit to get approval to file the Colorado return by

automatically have until October 15, 2013 to file. Interest is

October 15. However, the extension of time to file DOES NOT

due on any payment received after April 15, 2013. To avoid

allow you to extend your payment due date. You must pay at

any late payment penalties you must pay 90% of your tax

liability by June 17, 2013. When filing your return, mark the

least 90% of your tax liability by April 15 and the remainder

by October 15 to avoid delinquent payment penalties. The

appropriate box on Revenue Online or paper return.

following worksheet will help you determine if you have met

Pay Electronically

the 90% rule already, or if you need to remit payment with the

voucher below.

Taxpayers may pay online at

Online payments reduce errors and provide instant payment

Penalties and Interest

confirmation. Revenue Online also allows users

If the 90% rule is NOT met by April 15, 2013, then delinquent

to submit various forms and to monitor their tax account.

penalty and interest will be assessed when you file your

return. If 90% or more of your tax liability is paid by April 15,

EFT Debit and EFT Credit options are free services offered by

and the remaining balance is paid by October 15, no penalty

the Department. EFT services require pre-registration before

will be assessed. However, you will be billed interest, but only

payments can be made.

on the amount being paid by October 15.

Visit for more information.

If after April 15, you determine that you underpaid your

The DR 0158-I is not required if an online payment is made.

estimated tax you should pay the additional tax as soon

Please be advised that a nominal processing fee may apply to

as possible to avoid further accumulation of estimated tax

electronic payments.

penalty and/or interest. Form DR 0158-I can be used to remit

any supplemental estimated tax. Be sure to send one DR

0158-I for supplemental estimated tax, and one DR 0158-I to

reach the 90% rule if both apply to you.

Tax Payment Worksheet for Your Records

1. Income tax you expect to owe .............................................................................................................................. 1

2. Tax payments and credits:

a. Colorado income tax withheld ........................................................................... 2a

b. Colorado estimated income tax payments ........................................................ 2b

c. Other payments and credits ............................................................................... 2c

Total tax payments and credits–Add lines 2a through 2c ....................................................................................

3. Tax due–Subtract line 2 from line 1. Enter the result here and on the voucher below ........................................

DETACH FORM

ON THIS LINE

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

(0019)

2012 Extension Payment Voucher for Colorado

DR 0158-I ( 08/22/12 ) Web

DR 0158-I ( 08/22/12 )

COLORADO DEPARTMENT OF REVENUE

Individual Income Tax

Denver CO 80261-0008

(calendar year — Due April 15, 2013)

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

number and “2012 DR 0158-I” 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 by check or money order.

Your Last Name

First Name and Initial

Social Security Number

Spouse Last Name (if joint)

Spouse First Name and Initial

Spouse Social Security Number

Address

City

State

ZIP

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