Form 104 - Colorado Individual Income Tax Return - 2009
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1
2Page 13
2009
FORM 104
Vendor ID
Departmental Use Only
(0013)
COLORADO INDIVIDUAL INCOME TAX RETURN
RESIDENCY
FULL-YEAR RESIDENT(S)
STATUS
PART-YEAR RESIDENT(S) OR NONRESIDENT(S)
(CHECK ONE)
(or resident, part-year, nonresident combinations)
For calendar year 2009 or fiscal year
LAST NAME
FIRST NAME AND INITIAL
DECEASED
SOCIAL SECURITY NUMbER
Yourself
YES
Spouse, if joint
YES
Mailing Address
Your telephone number
(
)
City
State
ZIP Code
Email Address
If you use a tax preparer and do not want this booklet mailed to you next year, please check here .......................
Avoid math errors.
e-file!
ROUND TO THE NEAREST DOLLAR
1 ENTER AMOUNT from federal Form 1040, line 43; or from federal Form 1040 A, line 27; or from federal Form
.00
1040 EZ, line 6 (Federal Taxable Income) .....................................................................................................
1
ADDITIONS TO FEDERAL TAXAbLE INCOME
.00
2 Enter the state income tax deduction, if any, from line 5 of Schedule A of your federal Form 1040, ..................
2
.00
3 Other additions, explain: ________________________________________________________________
3
.00
4 Total of lines 1 through 3 .................................................................................................................................. 4
SUbTRACTIONS FROM FEDERAL TAXAbLE INCOME
.00
5 Enter the state income tax refund, if any, you reported on line 10 of your federal Form 1040 ......................
5
.00
6 United States government interest ................................................................................................................
6
.00
7 Pension-annuity subtraction, taxpayer ..........................................................................................................
7
.00
8 Pension-annuity subtraction, spouse.............................................................................................................
8
.00
9 Colorado source capital gain (5 year assets acquired on or after 5/9/94) ....................................................
9
.00
10 Tuition program contribution .......................................................................................................................
10
.00
11 Qualifying charitable contribution ................................................................................................................
11
12 Other subtractions, see instructions and check applicable box:
PERA contribution made in 1984–1986;
DPSRS contributions made in 1986;
tier I or II railroad benefits;
fiduciary or partnership
.00
modification;
qualified reservation income
wildfire mitigation measures. .......................................... 12
.00
13 Total of lines 5 through 12 ............................................................................................................................. 13
.00
14 COLORADO TAXAbLE INCOME, line 4 minus line 13 ..............................................................................
14
GO TO THE TAX TAbLE ON PAGES 22 AND 23 WITH YOUR TAXAbLE INCOME FROM LINE 14 TO FIND YOUR TAX.
FULL-YEAR RESIDENTS ENTER YOUR TAX ON LINE 15.
PART-YEAR RESIDENTS AND NONRESIDENTS GO TO FORM 104PN.
INCOME TAX, PREPAYMENTS AND CREDITS
15 COLORADO TAX from the tax table.
.00
Part-year residents and nonresidents enter tax from line 36, Form 104PN ...........................
15
.00
16 Alternative minimum tax from Form 104AMT .......................................................................... 16
.00
17 Recapture of prior year credits ................................................................................................ 17
.00
18 Total of lines 15 through 17 ....................................................................................................... 18
19 Total non-refundable credits from line 44, form 104CR (may not exceed total tax
.00
on lines 15 and 16) .................................................................................................................. 19
.00
20 Net Tax, line 18 minus line 19 .................................................................................................... 20
.00
21 COLORADO INCOME TAX WITHHELD from wages and winnings ....................................... 21
22 ESTIMATED TAX payments and credits; extension payments; and amounts withheld
.00
on nonresident real estate sales and partnership/S corp/fiduciary income ............................. 22
.00
23 Child care credit from line 5 or 6, Form 104CR ....................................................................... 23
24 Total of lines 21 through 23 ....................................................................................................... 24
.00
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