Form 104 - Colorado Individual Income Tax Return-2 - 1999 Page 2
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1
2.00
Amount from line 23 (Net Tax) .................................................
24 Enter the amount from federal form 1040, line 33; or from federal Form 1040A, line
18; 1040EZ, line 4; or from the federal Telefile worksheet, line I (Federal Adjusted
.00
Gross Income). If you are not required to file a federal return, enter $0 ................ 24
.00
25 Nontaxable Social Security Income ....................................................................... 25
.00
26 Total of lines 24 and 25 ............................................... 26
27 STATE SALES TAX REFUND For full-year Colorado residents age 18 or older for
all of 1999 or full-year residents under 18 who are required to file a return. Return
must be filed by April 17, 2000 to claim this credit.
(See instructions on page 4 if filing under extension)
$25,000
$25,001-
$50,001-
$75,001-
$100,001-
$125,001-
If line 26 is:
or less
$50,000
$75,000
$100,000
$125,000
or more
.00
............................................................................................................................... 27
$312
$502
Single Filers Enter
$159
$212
$244
$290
$624
$1,004
Joint Filers Enter
$318
$424
$488
$580
.00
28 COLORADO INCOME TAX WITHHELD from wages and winnings ................. 28
29 ESTIMATED TAX payments and credits; extension payments; and amounts
withheld on nonresident real estate sales and partnership/S corp income ........... 29
.00
30 Child Care/Child Tax Credit from line 1(g), Form 104 CR ..................................... 30
.00
.00
31 Earned Income Credit from line 2(b), Form 104 CR .............................................. 31
.00
32 Total of 27, 28, 29, 30 and 31 ...................................... 32
.00
33 If line 32 exceeds line 23, enter your overpayment ..... 33
.00
34 Amount on line 33 you want credited to your 2000 Estimated Tax ....................... 34
ENTER THE AMOUNT, IF ANY, YOU WISH TO CONTRIBUTE TO:
.00
35 The Colorado Nongame and Endangered Wildlife Fund ....................................... 35
.00
36 The Colorado Domestic Abuse Fund .................................................................... 36
.00
37 The Colorado Homeless Prevention Activities Fund ............................................. 37
.00
38 The Colorado Child Care Improvement Fund ........................................................ 38
.00
.00
39 The Special Olympics Colorado Fund ................................................................... 39
.00
40 United States Olympic Committee Fund ............................................................... 40
.00
41 Western Colorado State Veterans Cemetery Fund ............................................... 41
.00
42 Total of lines 34, 35, 36, 37, 38, 39, 40 and 41 ......... 42
.00
43 Line 33 minus line 42. This is your REFUND ....................................................... 43
AMOUNT OWED
.00
44 Penalty, also include on line 47 if applicable ......................................................... 44
.00
45 Interest, also include on line 47 if applicable ......................................................... 45
.00
46 Estimated Tax Penalty, also include on line 47 if applicable ................................. 46
47 If amount on line 23 exceeds amount on line 32, enter the amount you owe.
.00
.00
Include amounts entered as voluntary contributions on lines 35 through 41, if any .. 47
MAKE CHECK PAYABLE TO COLORADO DEPARTMENT OF REVENUE. TO ENSURE YOU RECEIVE CREDIT FOR YOUR
PAYMENT, WRITE YOUR SOCIAL SECURITY NUMBER ON YOUR CHECK. PLEASE DO NOT SEND CASH.
Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true,
correct, and complete.
Your Signature
Date
Spouse's Signature. If joint return, BOTH must sign.
Date
Colorado Driver License or Colorado ID Number
Year of Birth
Spouse's Colorado Driver License or Colorado ID Number
Year of Birth
MAIL YOUR RETURN TO: COLORADO DEPARTMENT OF REVENUE DENVER, CO 80261-0005
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