Form Dr 8453p - Partnership/s-Corp Income Tax Declaration For Electronic Filing
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1
2DR 8453P (08/07/14)
*148453P=19999*
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0006
State of Colorado Partnership/S-Corp
Income Tax Declaration for Electronic Filing
When feasible attach in PDF
format to your e-filed return
Do not mail this form to the IRS
or the Colorado Department of Revenue
Tax Year Beginning
Tax Year End
(MM/DD/YY)
(MM/DD/YY)
Retain with your records
Business Name
Colorado Account Number
Federal Identification Number
Street Address
City
State
ZIP
Phone Number
(
)
Part I — Tax Return Information
1. Total Income, from federal Schedule K
1 $
2. Allowable deductions from federal Schedule K
2 $
3. Colorado Tax, line 12 on Colorado Form 106, if applicable
3 $
4. Colorado Payments, line 19 on Colorado Form 106
4 $
5. Amount You Owe, line 27 on Colorado Form 106
5 $
6. Refund, line 30 Colorado Form 106
6 $
Part II — Declaration of Tax Payer
Under penalties of perjury, I declare that I am an officer of the company listed above and the information provided for electronic filing
and the amounts shown in Part I above agree with the amounts shown on the company's 2014 Federal/Colorado income tax returns,
and that said tax returns, statements, schedules and attachments are true, correct, and complete to the best of my knowledge and
belief. I understand that I (or my Electronic Return Originator (ERO) if applicable) may be required to provide paper copies of this
declaration, my returns, withholding statements, schedules and attachments upon request by the Colorado Department of Revenue at
any time during the period covered by the Colorado statute of limitations.
Signature
Date
Title
(MM/DD/YY)
Part III — Declaration of ERO/Preparer/Transmitter
If the transmitter did not prepare the tax return, check here
If I am not the preparer, I declare only that the amounts shown in Part I above agree with the amounts shown on the taxpayer's 2014
Federal/ Colorado income tax returns. If I am the preparer, under penalties of perjury I declare that I have reviewed the above taxpayer's
2014 Federal/Colorado income tax returns and that the information provided to me by the taxpayer and the amounts shown in Part I above
agree with the amounts shown on said tax returns, and that said tax returns, statements, schedules, and attachments are true, correct, and
complete to the best of my knowledge and belief. As preparer, I further declare that I have obtained the taxpayer's signature on this form at
the time of filing and have provided the taxpayer with copies of all forms and information filed. I also agree to maintain this signed Form (DR
8453P) for the period covered by the Colorado statute of limitations, and to provide paper copies of this declaration, said returns, withholding
statements, schedules, and attachments upon request by the Colorado Department of Revenue at any time during this period.
ERO's Signature
Preparer Identification
Number or Your SSN
Date
(MM/DD/YY)
Check if also Preparer
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