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AUTOMATIC EXTENSION OF TIME FOR FILING

COLORADO SEVERANCE TAX RETURN

Colorado severance tax returns are due to be filed three

Use form DR 21S to make a payment that must be made

and one-half months after the close of the tax year.

by the original due date of the return to meet the 90%

requirement.

An automatic six-month extension of time for filing the

Colorado severance tax return is allowed for all taxpay-

If after the original due date of the return it is found that the

ers. However, an extension of time to file is not an

amount paid is insufficient to meet the 90% requirement,

extension of time to pay the tax. If at least 90% of the net

additional payment should be made as soon as possible

tax liability is not paid by the original due date of the

to reduce further accumulation of penalty and interest.

return, penalty and interest will be assessed. If 90% or

Make such payment on form DR 21S.

more of the net tax liability is paid by the original due date

of the return and the balance is paid when the return is

Submit form DR 21S with payment to:

filed by the last day of the extension period, only interest

Colorado Department of Revenue

will be assessed.

Denver, Colorado 80261-0007

WORKSHEET

1. Tentative amount of tax for the taxable year after reduction

for the impact assistance credit (if any) .............................................................................................. $ __________

2. Less: (a) Severance tax withheld ....................................................................................................... $ __________

(b) Estimated tax payments ...................................................................................................... $ __________

(c) Total (a) and (b) ................................................................................................................... $ __________

3. Balance to be remitted with this request for extension, line 1 minus line 2 (c).

Enter on line 1 and 2, Form DR 21S, below. Claim credit for this payment on line 7 of form DR 20

or line 5 of Form DR 21 ...................................................................................................................... $ __________

DETACH FORM

IF NO PAYMENT IS DUE, DO NOT FILE FORM DR 21S

ON THIS LINE

CUT ALONG THIS LINE - RETURN LOWER PORTION

(59)

FOR SEVERANCE TAX ONLY

DR 21S

(10/15/07)

Extension Payment Voucher For Colorado

COLORADO DEPARTMENT OF REVENUE

SEVERANCE Tax Return for Tax Period ______________

DENVER CO 80261-0007