Form Dr 0900p - Pass-Through Entity Income Tax Payment Voucher - 2014
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1DR 0900P (07/03/14)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0008
2014 Pass-Through Entity
Income Tax Payment Voucher
Caution!
This form must accompany your payment if you filed electronically and wish to pay by check.
The Department strongly recommends that you file using
Complete the form below. The amount on the check and
Revenue Online ( ) or
the amount entered on the payment voucher must be
another electronic method and remit your payment
the same. This will help maintain accuracy in your tax
electronically or by EFT. Information on EFT can be found
account. Be sure to keep a copy of the money order or
note the check number with your tax records.
at
If you cannot file and pay online, you may pay by mail.
Do not submit a paper return if you have already filed
Make check or money order payable to the Colorado
electronically.
Department of Revenue. Be sure to round your payment
Manage your account. File and pay online.
to the nearest dollar. Clearly write your Colorado Account
Get started with Revenue Online today!
Number and “2014 Form 106” on the check memo line.
DETACH FORM
ON THIS LINE
Use the coupon below only if you are unable to pay online or by EFT.
Cut here and send only the coupon below. Help us save time and your tax dollars.
(0041)
2014 Pass-Through Entity
DR 0900P (07/03/14)
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0008
Income Tax Payment Voucher
Beginning
Ending
(MM/DD/2014)
(MM/DD/YYYY)
For the calendar year 2014 or the fiscal year
Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your
Colorado Account Number or Federal Employer Identification Number and “2014 FORM 106” on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this voucher.
Last Name or Business Name
First
Middle Initial
Colorado Account Number
FEIN
Address
City
State
Zip
The State may convert your check to a one time electronic banking
If No Payment Is Due, Do Not File This Form.
transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be
Amount of Payment
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.
(Do not write in space below)
.00
$
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