Form Dr 0617 - Innovative Motor Vehicle And Innovative Truck Credits - 2014

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*140617==19999*
DR 0617 (10/08/14)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0005
Innovative Motor Vehicle and
Innovative Truck Credits
Tax Year 2014
See page 3 for instructions
Use this form to claim innovative motor vehicle and innovative truck credits. A separate form must be completed for
each qualifying vehicle. Please see the instructions and FYI Income 67, available on-line at
before completing this form.
Last Name or Business Name
First Name
Middle Initial
SSN
FEIN
Colorado Account Number
Part 1. Vehicle Information
1. Model Year
1
2. Vehicle Make
2
3. Vehicle Model
3
4. Vehicle Identification Number (VIN)
4
5. Date of purchase, lease, or conversion
5
6. Was the vehicle:
purchased new
purchased used
leased
converted
Check box if credit is claimed for:
Idling Tech
Aerodynamic Tech
Refrigerated Trailer
CNG Trucks
Electric Trucks
Vehicle Weight
Part 2. Innovative Motor Vehicle Credit
7. MSRP, used vehicle cost, lease value, or conversion cost
7
00
8. Federal credit for which the purchaser, lessor, or lessee is eligible
8
00
9. Any other grants, credits, or rebates for which the purchaser, lessor,
00
or lessee is eligible
9
00
10. Line 8 plus line 9
10
11. Line 7 minus line 10
11
00
12. Credit percentage (see instructions)
12
13. Tentative tax credit, amount on Line 11 multiplied by line 12
13

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