*150900C=19999*
DR 0900C (08/06/15)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0008
(0021)
2015 C Corporation Income
Tax Payment
This form must accompany your payment if you filed
The amount on the check and the amount entered on
the payment document must be the same. This will help
electronically and wish to pay by check
maintain accuracy in your tax account. Be sure to keep a
The Department strongly recommends that you file using
copy of the money order or note the check number with
Revenue Online or other electronic method and remit your
your tax records.
payment electronically or by EFT.
DO NOT submit a paper 112 return if you have already filed
and paid electronically.
DR 0900C (09/11/15)
For tax period:
Ending:
(MM/DD)
(MM/DD/YY)
2015
Return this form with check or money order payable to the Colorado Department of Revenue, Denver, Colorado
80261-0008. Write your Colorado Account Number or Federal Employer Identification Number and “2015 FORM 112” on
your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.
Corporation Name
Colorado Account Number
FEIN
Address
City
Zip
State
If no payment is due, do not file this form.
Amount Owed
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
$
.0 0
Department of Revenue may collect the payment amount directly from your bank account electronically.