Form 112-Ep - Corporate Estimated Tax Payment Voucher

Form 112-Ep - Corporate Estimated Tax Payment Voucher - 2004

2004 COLORADO CORPORATE ESTIMATED INCOME TAX WORKSHEET

1. Estimated 2004 Colorado income tax

2. Recapture of prior year credits

3. Total of lines 1 and 2

4. Estimated 2004 Form 112CR credits

5. Colorado tax liability, line 3 minus line 4

6. Net estimated tax liability, line 5 times 70%

2003 OVERPAYMENT

DUE DATE

AMOUNT DUE

PAYMENT DUE

APPLIED

(24)

2004

CORPORATE ESTIMATED

For the calendar year 2004 or the fiscal year:

TAX PAYMENT VOUCHER

Colorado

Start Date:

Form 112-EP

End Date:

Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado

80261-0008. Please write your Colorado account number and "2004 Form 112-EP" on your check or money order.

Please do not send cash. Enclose, but do not staple or attach, your payment with this voucher. File only if you are

making a payment of estimated tax.

DUE DATE

Name of Corporation

Colorado Account Number

Address

F.E.I.N.

AMOUNT OF

(08)

PAYMENT

City, State, ZIP

DO NOT WRITE IN SPACE BELOW

Form 112-Ep - Corporate Estimated Tax Payment Voucher - 2004