Form Dr 0158 - Tax Payment Worksheet - 2015 printable pdf download

*150158-I19999*

DR 0158-I (07/29/15)

COLORADO DEPARTMENT OF REVENUE

Denver CO 80261-0008

(0019)

2015 Extension Payment for Colorado Individual Income Tax

(calendar year — Due April 18, 2016)

Automatic Filing Extension General Information

Penalties and Interest

Colorado offers an automatic 6-month extension to file your

If a return is filed on extension and at least 90% of the tax

income tax return if you cannot submit your return by the

is not paid by the April 18 due date, a late payment penalty

April 18 due date. This means that you can file your return by

and interest accruals will be assessed by the department.

October 15 without filing this form. However, 90% of your tax

However, if all the terms of filing on extension are met, and

MUST BE PAID by April 18. If you must wait until Monday,

the remaining tax is paid by October 17 the additional tax

October 17 to file your return, use the following worksheet to

payment is subject to only interest accruals.

calculate whether you need to remit a payment on April 18.

Pay Electronically

Persons Traveling or Residing Abroad

Taxpayers may pay online at

Online payments reduce errors and provide instant

If you are traveling or residing outside the United States

payment confirmation. Revenue Online also allows users

on April 18, the deadline for filing your return is June 15,

2016. If you need additional time to file your return, you will

to submit various forms and to monitor their tax account.

automatically have until October 17, 2016 to file. Interest is

EFT Debit and EFT Credit options are free services offered

due on any payment received after April 18, 2016. To avoid

by the Department. EFT services require pre-registration

any late payment penalties you must pay 90% of your tax

before payments can be made.

liability by June 15, 2016. When filing your return, mark the

Visit for more information.

appropriate box on Revenue Online or paper return.

The DR 0158-I is not required if an online payment is

made. Please be advised that a nominal processing fee

may apply to electronic payments.

Tax Payment Worksheet

Photocopy for your records before returning.

1. Income tax you expect to owe

2. Tax payments and credits:

a. Colorado income tax withheld

b. Colorado estimated income tax payments

c. Other payments and credits

Total tax payments and credits–Add lines 2a through 2c

3. Tax due–Subtract line 2 from line 1. Enter the result here and on the form below

DR 0158-I (07/29/15)

Return the DR 0158-I with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write your

Social Security number and “2015 DR 0158-I” 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 by check or money order.

Your Last Name

First Name

Middle Initial SSN

Spouse Last Name (if joint)

Spouse First Name

Middle Initial Spouse SSN

Address

City

State

ZIP

If No Payment Is Due, Do Not File This Form.

Amount of Payment

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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Form Dr 0158 - Tax Payment Worksheet - 2015

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