Form 104 - Colorado Individual Income Tax Return - 2001

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2001
FORM 104
COLORADO INDIVIDUAL INCOME TAX RETURN
RESIDENCY
(13)
FULL-YEAR RESIDENT(S)
STATUS
(53)
PART-YEAR RESIDENT(S) OR NONRESIDENT(S)
(CHECK ONE)
(or resident, part-year, nonresident combinations)
For calendar year 2001 or fiscal year
If you use a tax preparer and do not want this booklet mailed to you next year, please check here ......
LAST NAME
FIRST NAME AND INITIAL
SOCIAL SECURITY NUMBER
Yourself
Spouse, if joint
Your telephone number
Address
(
)
City
State
ZIP Code
ROUND TO THE NEAREST DOLLAR
1 ENTER AMOUNT from federal Form 1040, line 39; or from federal
Form 1040 A, line 25; or from federal Form 1040 EZ, line 6; or from the
federal TeleFile worksheet, line K (Federal Taxable Income) ...........................................
1
ADDITIONS TO FEDERAL TAXABLE INCOME
2 Enter amount of the state income tax deduction, if any, you claimed on
.00
Schedule A of your federal Form 1040, line 5 .....................................................................
2
.00
3 Non-Colorado state and local bond interest ........................................................................
3
4 Lump-sum distributions from a pension or profit sharing plan .............................................
4
.00
5 Other additions,
.00
explain:
5
6 Total of lines 1 through 5 ......................................................................................................
6
.00
SUBTRACTIONS FROM FEDERAL TAXABLE INCOME
7 Enter the amount of state income tax refund, if any, you reported on
.00
line 10 of your federal Form 1040 ........................................................................................
7
.00
8 Interest, dividend and capital gain (See FYI Income 40 for an explanation of the $1,500 limit.) ...
8
.00
9 United States government interest ......................................................................................
9
.00
10 Pension-annuity subtraction, taxpayer ................................................................................ 10
.00
11 Pension-annuity subtraction, spouse ................................................................................... 11
.00
12 Colorado source capital gain (See FYI Income 15 for an explanation of lines 12, 13 and 14.) ...... 12
.00
13 Colorado source capital gain (Assets acquired before 05/09/94) ........................................ 13
.00
14 Colorado source capital gain (Assets held at least one year but less than five years) ........ 14
.00
15 Marriage penalty subtraction $1,500 maximum (see FYI Income 38) ................................. 15
.00
16 Qualifying charitable contribution ........................................................................................ 16
.00
17 Tuition program contribution ................................................................................................ 17
.00
18 Other subtractions explain:
18
.00
19 Total of lines 7 through 18 .................................................................................................... 19
20 COLORADO TAXABLE INCOME, line 6 minus line 19 ...................................................
20
.00
GO TO THE TAX TABLE ON PAGES 11 AND 12 WITH YOUR TAXABLE INCOME FROM LINE 20 TO FIND YOUR TAX.
PART-YEAR RESIDENTS AND NONRESIDENTS GO TO FORM 104PN.
FULL-YEAR RESIDENTS ENTER YOUR TAX ON LINE 21.
21 COLORADO TAX from the tax table.
.00
Part-year residents and nonresidents enter tax from line Q, Form 104PN ........................
21
.00
22 Alternative minimum tax from Form 104AMT ...................................................................... 22
.00
23 Recapture of prior year credits ............................................................................................ 23
.00
24 Total of lines 21 through 23 .................................................................................................. 24
.00
25 Personal credits from line 6, Form 104 CR ......................................................................... 25
.00
26 Alternative fuel credits from line 7(c), Form 104 CR ............................................................ 26
.00
27 Health benefit plan credit from line 8(d), Form 104 CR (see FYI Income 43) ..................... 27
.00
28 Agricultural value-added credit from line 9, Form 104 CR ................................................... 28
.00
29 Enterprise zone credits from line 17, Form 104 CR ............................................................ 29
.00
30 Total of lines 25 through 29 (if more than the total of lines 21 and 22, see line 30 instructions) ..... 30
.00
31 Net tax, line 24 minus line 30 ............................................................................................... 31

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