Form Dr 0900p - Pass-Through Entity Income Tax Payment Voucher - 2012

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DR 0900P (01/07/13)
Web
Web
COLORADO DEPARTMENT OF REVENUE
DENVER CO 80261-0008
2012 Pass-Through Entity Income Tax Payment Voucher
Caution!
This form MUST accompany your payment if you filed electronically and wish to pay by check.
The Department strongly recommends that you file using Revenue Online ( ) or
another electronic method and remit your payment electronically or by EFT. Information on EFT can be found at
If you cannot file and pay online, you may pay by mail. Make check or money order payable to the Colorado Department
of Revenue. Be sure to round your payment to the nearest dollar. Clearly write your Colorado Account Number and “2012
Form 106” on the check memo line.
Complete the form below. The amount on the check and the amount entered on the payment voucher must be the same.
This will help maintain accuracy in your tax account. Be sure to keep a copy of the money order or note the check number
with your tax records.
DO NOT submit a paper return if you have already filed electronically.
Manage your account.
File and pay online.
Get started with Revenue Online today!
Use the coupon below only if you cannot pay online or by EFT.
DETACH FORM
DETACH FORM
ON THIS LINE
ON THIS LINE
Cut here and send only the coupon below. Help us save time and your tax dollars.
(0041)
DR 0900P (11/21/12) Web
2012 Pass-Through Entity Income Tax
DR 0900P (01/07/13)
DR 0900P (11/21/12) Web
COLORADO DEPARTMENT OF REVENUE
70
Payment Voucher
For the calendar year 2012 or the fiscal year: Start Date: ___________________, 2012 End Date: ___________________, 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 106” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with
this voucher. File only if you are making a payment of estimated tax.
Name
Colorado Account Number
Address
Federal Employer Identification Number
City
State
ZIP
IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM.
The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the
Amount of Payment
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)
$
.00
(Do not write in space below)

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