Form 104-Ep - Estimated Income Tax Payment Voucher

Form 104-Ep - Estimated Income Tax Payment Voucher - 2001 Page 2

2001 COLORADO INDIVIDUAL ESTIMATED INCOME TAX WORKSHEET

Estimated 2001 Colorado taxable income

Estimated 2001 Colorado income tax - 4.63% of line 1

Estimated 2001 Colorado alternative minimum tax

Total of lines 2 and 3

Estimated 2001 Form 104CR credits

Line 4 minus line 5

Estimated 2001 Colorado withholding tax

Net estimated tax, line 6 minus line 7

Due Date

Amount Due

2000 Overpayment Applied

Payment Due

2001

Estimated Income Tax

(14)

COLORADO

Payment Voucher

104-EP

(Calendar year - Due April 16, 2001)

FORM

Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Please write your social

security number and "2001 Form 104-EP" on your check or money order. Please 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.

Your last name

First name and initial

Your social security number or account number

AMOUNT OF

Spouse's last name

First name and initial

Spouse's social security number or account number

PAYMENT

Address

(08)

.00

City

State

ZIP

DO NOT WRITE BELOW THIS LINE

Form 104-Ep - Estimated Income Tax Payment Voucher - 2001 Page 2