Form Dr 0021s - Extension Payment Voucher For Colorado Oil And Gas Severance Tax Return - 2008

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EXtEnsion oF timE For Filing coloraDo
oil anD gas sEVErancE taX rEturn
Colorado severance tax returns are due to be filed three
Use Form DR 0021S to make a payment that must be
and one-half months after the close of the tax year.
made by the original due date of the return to meet the
90% requirement.
An automatic six-month extension of time for filing
the Colorado severance tax return is allowed for all
If after the original due date of the return it is found
taxpayers. However, an extension of time to file is not
that the amount paid is insufficient to meet the 90%
an extension of time to pay the tax. If at least 90% of the
requirement, additional payment should be made as
net tax liability is not paid by the original due date of the
soon as possible to reduce accumulation of penalty and
return, penalty and interest will be assessed. If 90% or
interest. Make such payment on Form DR 0021S.
more of the net tax liability is paid by the original due date
of the return and the balance is paid when the return is
Submit Form DR 0021S with payment to:
filed by the last day of the extension period, only interest
Colorado Department of Revenue
will be assessed.
Denver, CO 80261-0007
WorKshEEt
1. Tentative amount of tax for the taxable year after reduction
for the impact assistance credit (if any) ...............................................................................................$ __________
2. Less: (a) Severance tax withheld .........................................................................................................$ __________
(b) Estimated tax payments........................................................................................................$ __________
(c) Total (a) and (b).....................................................................................................................$ __________
3. Balance to be remitted with this request for extension, line 1 minus line 2 (c).
Enter amount of payment below. Claim credit for this payment on line 5 of Form DR 0021 ................$ __________
DETACH FORM
ON THIS LINE
iF no PaYmEnt is DuE, Do not FilE Form Dr 0021s
rEturn onlY thE loWEr Portion oF this PagE With Your PaYmEnt
(7040)
Extension Payment Voucher For colorado
Vendor iD
FORM DR 0021S
(09/18/08)
coloraDo DEPartmEnt oF rEVEnuE
oil and gas severance tax return
16
For tax period __________________________________________, ending ___________________________ .
Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0007. Write your social
security number, Colorado Account Number or Federal Employer Identification Number and “Form DR 0021S” on your check or money order. Do not
send cash. Enclose, but do not staple or attach, your payment with this voucher.
Your last name
First name and initial
Social security number or Colorado account number
Spouse’s last name
First name and initial
Spouse’s social security number
Address
Federal Employer Identification Number
City
State
ZIP
iF no PaYmEnt is DuE, Do not FilE this Form.
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
amount oF PaYmEnt
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.
$
.00
Do not WritE in sPacE BEloW

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