Form Dr 0253 - Income Tax Closing Agreement
Download a blank fillable Form Dr 0253 - Income Tax Closing Agreement in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Dr 0253 - Income Tax Closing Agreement with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1DR 0253 (08/30/13)
*130253==19999*
colorado department of revenue
Denver, CO 80261-0005
Income tax closing agreement
I. taxpayer for which/whom agreement is sought
Last Name
First Name
Middle Initial SSN or Colorado Account Number
Address
City
State Zip
Taxpayer is (check one):
Date of Death
(MM/DD/YY)
Individual
Estate
Trust
Corporation
II. person seeking agreement
Last Name
First Name
Middle Initial
Address
City
State Zip
Relationship to taxpayer
Reason for seeking agreement
III. agreement
Whereas there has been a determination of the Colorado income tax liability of said taxpayer or taxpayer's estate
for the period ____________________________________________________________________________________
in the principal sum of $ ___________________________________________________________________________
and, Whereas, said fiduciary, officer or agent hereby agrees to this determination and consents to the assessment and
collection of any deficiency in tax included in the amount of the principal tax liability so determined, together with any
penalty or interest applicable thereto as provided by law, and/or to accept any abatement, credit, or refund made in
accordance with such determination, together with any interest due thereon as provided by law;
Now, this agreement witnesseth, that said fiduciary, officer or agent and said Executive Director of the Department of
Revenue of the State of Colorado hereby mutually agree that the principal amount of such liability so determined shall be
final and conclusive if and when this agreement is approved by said Executive Director of the Department of Revenue.
In witness whereof, the above parties have subscribed their names to these presents.
Fiduciary, Officer or Agent
Signature
Date
(MM/DD/YY)
Executive Director, Department of Revenue
Signature
Date
(MM/DD/YY)
The Department of Revenue hereby acknowledges receipt of $ ______________________ in accordance with this
agreement in full satisfaction of the taxes for the taxable period to which the above agreement relates as provided in
section 39-21-116, CRS 1973, except upon a showing of fraud, malfeasance, or misrepresentation of a material fact.
Received by
Date
(MM/DD/YY)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial