Form 104-Ep - Estimated Income Tax Payment Voucher - 2005 Page 2

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DR 104EP (09/22/05) Web
COLORADO DEPARTMENT OF REVENUE
DENVER, CO 80261-0008
2006 COLORADO INDIVIDUAL ESTIMATED INCOME TAX WORKSHEET
1.
Estimated 2006 Colorado taxable income
$
2.
Estimated 2006 Colorado income tax - 4.63% of line 1
$
3.
Estimated 2006 Colorado alternative minimum tax
$
4.
Estimated 2006 recapture of prior year credits
$
5.
Total of lines 2, 3 and 4
$
6.
Estimated 2006 Form 104CR credits
$
7.
Line 5 minus line 6
$
8.
Estimated 2006 Colorado withholding tax
$
9.
Net estimated tax, line 7 minus line 8
$
Due Date
Amount Due
2005 Overpayment Applied
Payment Due
$
$
$
$
$
$
$
$
$
$
$
$
DETACH FORM
ON THIS LINE
70
(14)
Estimated Income Tax
2006 COLORADO
FORM 104-EP
Payment Voucher
(Calendar year - Due April 17, 2006)
Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your social security
number and "2006 Form 104-EP" on your check or money order. 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. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect
the payment amount from your banking account electronically.
Your last name
First name and initial
Your social security number
Spouse's last name
First name and initial
Spouse's social security number
Address
City
State
ZIP
$
Do not write in space below.
(08)
AMOUNT OF PAYMENT
00

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