Form 112-Ep - Corporate Estimated Tax Payment Voucher - 2006

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DO YOU WANT TO AVOID MAILING ESTIMATED TAX FORMS AND PAYMENTS?
File and pay your estimated income taxes electronically online or with one toll-free phone call without writing a check or mailing a form. The system also
lets you establish a payment schedule for the year so you won't forget to make your quarterly payment. The Web version shows your planned payments
and payment history. Payments are transferred to the Department of Revenue and credited to your account on the day you request; convenient and secure.
If you currently use ACH credits for payments, you may make estimated income tax payments that way as well.
To sign up, fill out the information below and send to:
Colorado Department of Revenue
CDO Research
Denver, CO 80261
or fax to (303) 866-3112
Sample Check:
DR 5778 (09/26/05)
EFT AUTHORIZATION
EFT Number
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261
CORPORATE ESTIMATED INCOME TAX
(303) 205-8333
3 7 1 0
___ ___ ___ ___ ___ ___ ___ ___ ___ ___
ACH DEBIT
To be assigned by Department of Revenue
Taxpayer Name
Colorado Account Number
Mailing Address
Federal Employer Identification Number (FEIN)
01212
City
State
ZIP
Contact Person
Phone
(
)
I authorize the Colorado Department of Revenue,
pursuant to my instructions, to initiate entries to my account number ________________________ at __________________________________ bank.
Name of Bank Account
Type of Account
Checking
Savings
Bank Transit/Routing Number
Signature
ATTACH A VOIDED CHECK FOR THE BANK ACCOUNT INDICATED ABOVE
DR 5778A (09/26/05)
EFT AUTHORIZATION
EFT Number
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261
CORPORATE ESTIMATED INCOME TAX
(303) 205-8333
3 7 1 0
___ ___ ___ ___ ___ ___ ___ ___ ___ ___
ACH CREDIT
To be assigned by Department of Revenue
Taxpayer Name
Colorado Account Number
Mailing Address
Federal Employer Identification Number (FEIN)
01212
City
State
ZIP
Contact Person
Phone
(
)
I hereby request the Colorado Department of Revenue (DOR) grant authority for the taxpayer to initiate Automated Clearing House credit
transactions to DOR's bank account. I understand these must be in the NACHA CCD+ format using the TXP addendum record format.
Signature
Date

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