Form 104 - Colorado Individual Income Tax - 2011 Page 13
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24(12/19/11)
FORM 104CR—INDIVIDUAL CREDIT SCHEDULE 2011
Taxpayer’s Name
Social Security Number
• Use this schedule to determine which tax credits you are eligible to claim and what information has to be provided for
each credit.
• Enter in column (a) the total credit generated in 2011 and any carryforward credit that is available from a prior year.
Enter in column (b) the portion of the credit in column (a) that is being used to offset tax in 2011. If column (a) is larger
than column (b) and the credit can be carried forward to future years, enter the carryforward information on line 50.
• To submit required documentation, attach the documentation to your e-filed return (if your software allows) or go to
Revenue Online at to electronically send a PDF. If you do not have access to the
technology to electronically submit the information, you must mail the required documentation with the DR 1778.
• If you are unable to file electronically, the documentation must be attached to this schedule and submitted with Form 104.
ROUND ALL DOLLAR AMOUNTS TO THE NEAREST DOLLAR
Part I—Colorado Child Care Credit
Who qualifies for this credit?
• Colorado residents
• Claimed a federal child care credit for a child 12 or younger
• Federal adjusted gross income is $60,000 or less
• See FYI 33 for more information.
1. Federal adjusted gross income from federal Form 1040 line 37, or federal Form 1040A line 21.
If line 1 is larger than $60,000 enter 0 on line 5. You do not qualify for this credit ........................ 1
00
2. Federal tax from federal Form 1040 line 46, or federal Form 1040A line 28.
If line 2 is 0, enter 0 on line 5 ........................................................................................................ 2
00
3. The 2011 federal child care credit you claimed. Enter the smaller of the amounts on line 46 or 48 of
your federal Form 1040, or the smaller of the amounts on line 28 or 29 of your federal Form 1040A . 3
00
4. Your percentage from the table below........................................................................................... 4
%
Your Federal Adjusted Gross Income Your Percentage
More Than:
But Not More Than:
$0
$25,000
50%
$25,000
$35,000
30%
$35,000
$60,000
10%
5. Colorado Child Care Credit, multiply the amount on line 3 by the percentage on line 4 ............... 5
00
6. Part-year residents only: Enter the percentage from line 34, Form 104PN ____________%
(cannot exceed 100%). Multiply this percentage by the amount on line 5 .................................... 6
00
7. List eligible child’s name, date of birth and Social Security number if a credit is claimed on lines 5 or 6.
Child’s Name
Date of Birth
Social Security Number
Child’s Name
Date of Birth
Social Security Number
Part II—Other Refundable Credits
8. Refundable alternative fuel vehicle credit ..................................................................................... 8
00
Required Information:
Submit a copy of the invoice and proof of Colorado registration when claiming this credit.
Vehicle Make
Model
Year
Dealership Name
Check whether this vehicle was purchased: New
Used
Did this vehicle permanently displace a power source from Colorado that was 10 years old or older?
Yes
No
Check whether this vehicle was:
Leased
Purchased
Vehicle Identification Number (VIN)_________________________________________
9. Total refundable credits; add lines 5 or 6 and 8. Enter here and on line 23, Form 104 .................. 9
00
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