Form Dr 1093 - Annual Transmittal Of State W-2 Forms
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1DR 1093 (12/06/12)
Web
COLORADO DEPARTMENT OF REVENUE
Annual Transmittal of State W-2 Forms (DR 1093)
1375 Sherman Street
Denver, CO 80261-0009
Instructions
The DR 1093 Annual Transmittal of State W-2 Forms should be
Line 3B Overpayment – If line 2 is greater than line 1, complete
filed in February for withholding taxes reported on W-2s for the prior
line 3B. Do not enter amount on line 6. A tax refund will
be issued automatically upon processing if form is filed
calendar year.
If you are filing an amended return you are required to mark the
timely, a review is not required, and there are no outstanding
Amended Return box. A separate amended return must be filed
delinquencies on the account.
for each period. The amended return must show all tax columns
Line 4
Penalty – Enter 5% (.05) of tax due or $5, whichever amount
as corrected, not merely the difference(s). The amended return will
is greater, for any payment made after the due date, add 1/2%
replace the original return in its entirety.
(.005) additional penalty for each additional month you are
Most entities are required to file an Annual Withholding Transmittal.
late up to a maximum of 12% of the tax due. The minimum
Attach this form to the total withholding statements (W-2s) that were
late filing penalty is $5.
furnished to each payee.
Line 5
Interest – Enter the interest computed on the balance of the
• If you use the electronic method for filing your W-2s
tax due if you are filing this return after the due date. Interest
(Revenue Online, ) submit
is due at the current statutory rate of .25% (.0025) for each
this form if an amount appears on 3A or 3B. Mail this form to
monthly payment received after the due date.
the address shown below.
• If you file paper W-2 statements, you must always attach this
Line 6
Additional Balance Paid – If line 1 is greater than line 2, add
lines 3A, 4 and 5. If lines 1 and 2 are equal, enter 0 (zero).
form before submitting documents.
Mail to and make checks payable to:
Due Date
Colorado Department of Revenue
• Active (Open) Accounts – This form must be postmarked
Denver CO 80261-0009
on or before the last day in February following the end of the
For your records
year in which withholdings were made.
• Inactive (Closed) Accounts – This form must be
Filing period
postmarked within thirty (30) days of the business closure.
1. Colorado income tax
Should either due date fall on a weekend or holiday, it will be
00
withheld per W-2s.
extended to the next business day.
2. Colorado income tax withheld and
00
paid.
Completing the Transmittal Form
3. A. Balance Due
Line 1
Enter the total amount of state withholding withheld from all
00
or
Colorado employees per W-2s.
B. Overpayment
00
Line 2
Enter the total Colorado withholding payments you remitted.
4. Penalty
Do not include penalty and/or interest you paid.
00
(see instructions)
Line 3
If amount on lines 1 and 2 are the same, enter a zero on
5. Interest
line 6.
(see instructions)
00
Line 3A Additional Tax – If line 1 is greater than line 2, complete
$
.00
6. Additional Balance Paid
lines 3A, 4, 5, and 6. Penalty and interest will be calculated
automatically when there is a balance due.
DETACH FORM
Photocopy for your records.
ON THIS LINE
Cut here and send only the coupon below. Help us save time and your tax dollars.
Colorado Department of Revenue Annual
DR 1093 (12/06/12) Web
DR 1093 (12/06/12)
COLORADO DEPARTMENT OF REVENUE
Transmittal of State W-2 Forms
13
Account Number
Period
Due Date
Number of W-2s Attached
1000-130
Social Security Number 1
Social Security Number 2
FEIN
1. Total Colorado income taxes
00
withheld per W-2 forms attached.
Signed under penalty of perjury in the second degree.
2. Total Colorado income taxes remitted
00
for the period indicated at left
(890)
Signature
Date
Phone
3. A. Balance Due
If line 1 is more than
(
)
line 2, enter difference and
(100)
(see instructions).
00
or
Mark here if this is an Amended Return .............................................................................................................
B. Overpayment
If line 2 is more than
line 1, enter the difference and
00
(415)
(see instructions).
Mail reconciliation with W-2 forms and any payment due on line 6 to:
00
Colorado Department of Revenue, Denver, Colorado 80261-0009
4. Penalty (see instructions)
(200)
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
00
5. Interest (see instructions)
(300)
due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from
your bank account electronically.
6. Additional Balance Paid
Paid by EFT
Add lines 3A, 4, and 5.
(355)
$
.00
(Do not write in space below)
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