DOR1
2005
FORM 104
Departmental Use Only
COLORADO INDIVIDUAL INCOME TAX RETURN
RESIDENCY
(13)
FULL-YEAR RESIDENT(S)
STATUS
(53)
PART-YEAR RESIDENT(S) OR NONRESIDENT(S)
(CHECK ONE)
(or resident, part-year, nonresident combinations)
For calendar year 2005 or fiscal year
LAST NAME
FIRST NAME AND INITIAL
SOCIAL SECURITY NUMBER
DECEASED
Yourself
YES
Spouse, if joint
YES
Your telephone number
Address
(
)
City
State
ZIP Code
If you use a tax preparer and do not want this booklet mailed to you next year, please check here ......
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
.00
Form 1040 EZ, line 6 (Federal Taxable Income) ....................................................................................
1
ADDITIONS TO FEDERAL TAXABLE INCOME
2 Enter the amount of the state income tax deduction, if any, you claimed on Schedule A of your federal
.00
Form 1040, line 5 .....................................................................................................................................
2
.00
3 Other additions, explain: _____________________________________________________________
3
.00
4 Total of lines 1 through 3 ...........................................................................................................................
4
SUBTRACTIONS FROM FEDERAL TAXABLE INCOME
5 Enter the amount of state income tax refund, if any, you reported on line 10 of your federal
.00
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 ...................................................................................................................
9
.00
10 Tuition program contribution ....................................................................................................................
10
.00
11 Other subtractions, explain: __________________________________________________________
11
.00
12 Total of lines 5 through 11 ......................................................................................................................... 12
.00
13 COLORADO TAXABLE INCOME, line 4 minus line 12 ........................................................................
13
GO TO THE TAX TABLE ON PAGES 22 AND 23 WITH YOUR TAXABLE INCOME FROM LINE 13 TO FIND YOUR TAX.
PART-YEAR RESIDENTS AND NONRESIDENTS GO TO FORM 104PN. FULL-YEAR RESIDENTS ENTER YOUR TAX ON LINE 14.
INCOME TAX AND CREDITS
14 COLORADO TAX from the tax table.
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Part-year residents and nonresidents enter tax from line 36, Form 104PN ......................
14
.00
15 Alternative minimum tax from Form 104AMT ...................................................................... 15
.00
16 Recapture of prior year credits ............................................................................................ 16
.00
17 Total of lines 14 through 16 .................................................................................................. 17
.00
18 Personal credits from line 41, Form 104CR ........................................................................ 18
.00
19 Alternative fuel credits from line 44, Form 104CR ............................................................... 19
.00
20 Enterprise zone credits from line 18, Form 104CR ............................................................. 20
.00
21 Total of lines 18 through 20 (if more than the total of lines 14 and 15, see line 21 instructions) ..... 21
.00
22 Net tax, line 17 minus line 21 ............................................................................................... 22