Form Dr 0133 - Passenger Mile Tax Return
ADVERTISEMENT
1
2DR 0133 (01/06/05)
COLORADO DEPARTMENT OF REVENUE
PASSENGER MILE
DENVER CO 80261-0016
(303) 205-8205
TAX RETURN
KEEP THIS COPY
Due Date
Industry Code
Account Number
Period
Social Security Number 1
Social Security Number 2
FEIN
5140-100
(100)
1. Passenger mile tax (DR 0011)
(925)
2. Passenger mile tax paid at ports
3. Refund: only if line 2 is
(410)
more than line 1
MAKE CHECK PAYABLE TO COLORADO
4. Balance due: if line 1 is
DEPARTMENT OF REVENUE.
more than line 2
INCLUDE THE ACCOUNT NUMBER ON
5. Penalty
(200)
YOUR
CHECK
TO
ENSURE
PROPER
CREDIT.
(300)
6. Interest
(355) $
I
7. TOTAL DUE Add lines 4, 5 and 6
F
F
RETURN COPY BELOW - DETACH HERE
DR 0133 (01/06/05)
PASSENGER MILE
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0016
TAX RETURN
(303) 205-8205
Due Date
Industry Code
Account Number
Period
Social Security Number 1
Social Security Number 2
FEIN
5140-100
SIGNED UNDER PENALTY OF PERJURY IN THE SECOND DEGREE
(100)
1. Passenger mile tax (DR 0011)
Signature
Date
Phone
2. Passenger mile tax paid at ports
(925)
3. Refund: only if line 2 is
(410)
more than line 1
4. Balance due: if line 1 is
more than line 2
5. Penalty
(200)
If your check is returned due to
insufficient or uncollected
(300)
funds, the Department of
6. Interest
Revenue may collect the
payment amount directly from
(355) $
I
your banking account
7. TOTAL DUE Add lines 4, 5 and 6
DO NOT WRITE BELOW THIS LINE
electronically.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial