Corporate Estimated Income Tax Page 3

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Departmental Use Only
(0022)
DR 0112EP (09/21/16)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0008
2017 Corporate
*170112EP19999*
Estimated Tax Payment Form
DO NOT CUT – Return Full Page
For the calendar year 2017 or the fiscal year:
Beginning
Ending
(MM/DD/YY)
(MM/DD/YY)
Return the DR 0112EP with check or money order payable to the Colorado Department of Revenue, Denver, Colorado
80261-0008. Write your Colorado Account Number or FEIN and “2017 Form 0112EP” on your check or money order. Do
not send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment of
estimated tax.
FEIN
Colorado Account Number
Corporation Name
Address
City
State
ZIP
Due Date
(MM/DD/YY)
Amount of Payment
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 same day received by the State. If converted, your check will not be returned. If your check is rejected
due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.
$
.00
DO NOT CUT – Return Full Page

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