DR 104EP (09/22/05) Web
COLORADO DEPARTMENT OF REVENUE
DENVER, CO 80261-0008
Estimated Income Tax Payment Voucher
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Estimated Income Tax
2006 COLORADO
70
(12)
FORM 104-EP
Payment Voucher
(Calendar year - Due June 15, 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