Form 112-Ep - Corporate Estimated Tax Payment Voucher - 2004 Page 2
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1
2
3(22)
2004
CORPORATE ESTIMATED
70
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
Colorado Account Number
Name of Corporation
Address
F.E.I.N.
AMOUNT OF
(08)
PAYMENT
City, State, ZIP
00
DO NOT WRITE IN SPACE BELOW
(22)
2004
CORPORATE ESTIMATED
70
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
00
DO NOT WRITE IN SPACE BELOW
(22)
2004
CORPORATE ESTIMATED
70
For the calendar year 2004 or the fiscal year:
Colorado
TAX PAYMENT VOUCHER
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.
Colorado Account Number
DUE DATE
Name of Corporation
Address
F.E.I.N.
AMOUNT OF
(08)
PAYMENT
City, State, ZIP
00
DO NOT WRITE IN SPACE BELOW
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