Form Dr 0106ep - Colorado Composite Nonresident Estimated Tax Payment Form - 2016 Page 2

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Departmental Use Only
DR 0106EP (06/02/15)
(0042)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0008
2016 Colorado Composite
*160106EP19999*
Nonresident Estimated Tax
Payment Form
Estimated Tax — Composite Nonresident Worksheet
1. Estimated 2016 Colorado taxable income
$
00
2. Estimated 2016 Colorado income tax — 4.63% of line 1
$
00
3. Estimated 2016 Form 106CR credits
$
00
4. Net estimated tax, line 2 minus line 3
$
00
Payment Number
Net Amount Due
2015 Overpayment Applied
Payment Due
Due Dates
1
April 18
$
$
$
2
June 15
$
$
$
3
September 15
$
$
$
4
January 15, 2017
$
$
$
Round to the nearest dollar.
DR 0106EP (05/28/15)
Beginning
Ending
(MM/DD/2016)
(MM/DD/YYYY)
For the calendar year 2016 or the fiscal year:
Return the DR 0106EP with check or money order payable to the Colorado Department of Revenue, Denver, Colorado
80261-0008. Write your Colorado Account Number and “2016 Form 0106EP” on your check or money order. Do not
send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment of
estimated tax.
Name of Organization
FEIN
Colorado Account Number
Address
City
State
ZIP
Due Date
(MM/DD/YY)
Amount of Payment
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 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

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