Form 112x - Amended Colorado C-Corporation Income Tax Return

21. Total of lines 19 and 20

22. Estimated tax and extension payments and credits

23. W-2G Withholding from lottery winnings

24. Refundable alternative fuel vehicle credit from line 74 Form 112CR

25. Total of lines 22 through 24

If you want the Department of Revenue to compute and mail your refund, or compute your balance due and mail a bill, stop here and leave lines 26

through 41 blank. If you want to compute the refund or balance due yourself, continue with line 26.

26. If line 25 is larger than line 21, enter your overpayment.

27. Enter the overpayment from your original return or as previously adjusted

28. If line 21 is larger than line 25, enter the amount owed

29. Enter the amount owed from your original return or as previously adjusted

Compute The Amount You Owe

30. Line 27 minus line 26, but not less than zero

31. Line 28 minus line 29, but not less than zero

32. Additional tax due, total of lines 30 and 31

33. Interest due on additional tax

34. Penalty due

35. Estimated tax penalty due

36. Payment due with this return, add lines 32 through 35

Paid by EFT

Compute Your Refund

37. Line 26 minus line 27, but not less than zero

38. Line 29 minus line 28, but not less than zero

39. Overpayment, total of lines 37 and 38

40. Overpayment credited to 2012 estimated tax

41. Refund claimed with this return, line 39 minus line 40

Savings

Type:

Checking

Routing number

Account number

Pay electronically at or mail and make checks payable to:

Colorado Department of Revenue, Denver, CO 80261-0006

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will

not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

Person or Firm preparing return (name,

Under penalties of perjury in the second degree, I declare that I have examined this return and to the best of my

knowledge is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information

address and telephone number):

of which preparer has any knowledge.

Signature and Title of Officer

Date