Form 112x - Amended C-Corporation Income Tax Return - 2014 Page 3

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*140112X=39999*
Taxpayer Name
FEIN
29. If line 28 is larger than line 23, enter your overpayment
29
00
30. Enter the overpayment from your original return or as previously adjusted
30
00
31. If line 23 is larger than line 28, enter the amount owed
31
00
32. Enter the amount owed from your original return or as previously adjusted
32
00
Compute the Amount You Owe
33. Line 30 minus line 29, but not less than zero
33
00
34. Line 31 minus line 32, but not less than zero
34
00
35. Additional tax due, total of lines 33 and 34
35
00
36. Interest due on additional tax
36
00
37. Penalty due
37
00
38. Estimated tax penalty due
38
00
Paid by EFT
39. Payment due with this return, add lines 35 through 38
39
00
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 return. 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.
Compute Your Refund
40. Line 29 minus line 30, but not less than zero
40
00
41. Line 32 minus line 31, but not less than zero
41
00
42. Overpayment, total of lines 40 and 41
42
00
43. Amount you want credited to 2015 estimated tax
43
00
44. Refund claimed with this return, line 42 minus line 43
44
00
Direct
Type:
Checking
Savings
Routing Number
Deposit
Account Number
Pay electronically at or mail and make checks payable to:
Colorado Department of Revenue, Denver, CO 80261-0006
Under penalties of perjury in the second degree, I declare that I have examined this return and to the best of my
knowledge is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of
which preparer has any knowledge.
Signature of Officer
Title of Officer
Date
(MM/DD/YY)
Paid Preparer’s Last Name
First Name
Middle Initial
Paid Preparer’s Address
Phone Number
(
)
City
State Zip

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