Form 105 - Colorado Fiduciary Income Tax - 2014 Page 2

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*140105==29999*
18. Colorado income tax withheld from wages
18
00
19. W-2G withholding from lottery winnings
19
00
20. Innovative Motor Vehicle Credit from line 36 Form DR 0617
  2 0
00
21. Authorized instream flow incentive credit
21
00
22. Sum of lines 17 through 21
22
00
23. Penalty, also include on line 25 if applicable
23
00
24. Interest, also include on line 25 if applicable
24
00
25. If amount on line 16 exceeds amount on line 22, enter amount owed. Pay online:
(or make checks payable to Colorado
Department of Revenue)
25
00
26. If line 22 is larger that line 16, enter overpayment
26
00
27. Overpayment to be credited to 2015 estimated tax
27
00
28. Overpayment to be refunded
28
00
Direct
Type:
Savings
Routing Number
Checking
Deposit
Account Number
May the Colorado Department of Revenue discuss this return with the paid preparer shown below (see instructions)?
No
Yes
I declare under penalty of perjury in the second degree, that this return is true, correct and complete to the best
of my knowledge and belief. Declaration of preparer is based on all information of which the preparer has any
knowledge.
Submit to or mail to: Colorado Department of Revenue Denver CO 80261-0006
Signature of fiduciary or officer representing fiduciary
Date
(MM/DD/YY)
Person or firm preparing return
Phone Number
Date
(MM/DD/YY)
(
)
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.

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