DR 0900C (07/09/12) Web
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0008
2012 C Corporation Income Tax Payment Voucher
This form MUST accompany your payment if you filed
The amount on the check and the amount entered on the payment
voucher must be the same. This will help maintain accuracy in your
electronically and wish to pay by check
tax account. Be sure to keep a copy of the money order or note the
The Department strongly recommends that you file using Revenue
check number with your tax records .
Online or other electronic method and remit your payment
electronically or by EFT.
DO NOT submit a paper return if you have already filed
electronically.
Use the coupon below only if you cannot pay online or by EFT.
DETACH FORM
ON THIS LINE
Cut here and send only the coupon below. Help us save time and your tax dollars.
(0021)
2012 C Corporation Income
DR 0900C (07/09/12) Web
Tax Payment Voucher
COLORADO DEPARTMENT OF REVENUE
70
For the calendar year 2012 or the fiscal year beginning: ____________________, 2012 ending: ___________________, 20___.
Return this voucher 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 “2012 FORM 112” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with
this voucher.
Corporation Name
Colorado Account Number
Address
Federal Employer Identification Number
City
ZIP
State
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.
(08)
$
. 0 0
(Do not write in space below)