Form Dr 0900 - Individual Income Tax Payment Voucher - 2006

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DR 0900
(07/19/06) WEB
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0008
2006 INDIVIDUAL INCOME TAX PAYMENT VOUCHER
See Instructions Below
Print the completed form and submit with your payment.
Use Form DR 0900 below to submit your payment if you:
DO NOT send another copy of
•
file using NetFile,
your tax return with your payment
•
file using TeleFile,
because the DR 0900 contains all
•
file using any other electronic method,
the information required to match
•
file a paper return containing a barcode,
your payment with your return.
•
or are, for some other reason, sending your payment
separate from your return.
DETACH FORM
ON THIS LINE
DR 0900
(07/19/06)
COLORADO DEPARTMENT OF REVENUE
70
2006
DENVER CO 80261-0008
(11)
INDIVIDUAL INCOME TAX PAYMENT VOUCHER
Your Last Name
First Name and Initial
Social Security Number
Spouse's Last Name (if joint)
Spouse's First Name and Initial
Address
City
State
ZIP
Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver CO 80261-0008. Write your social security
number and "Form 104" on the face of your check or money order. Do not send cash. The State may convert your check to a one time electronic banking
transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is
rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.
(08)
$
.00
Payment
DO NOT WRITE IN THE SPACE BELOW

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