Form Dr 0158-N - Payment Voucher For Extension Of Time For Filing A Colorado Composite Nonresident Income Tax Return - 2012

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DR 0158-N (09/12/12)
Web
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0008
Automatic Filing Extension
General Information
If after the original due date, you determine that you
Colorado income tax returns are due 3 ½ months after the
underpaid your extension payment you should pay
end of your tax year, or by April 15, 2013 for traditional
the additional tax as soon as possible to avoid further
calendar year filers. If you are unable to file by your
accumulation of penalty and/or interest.
prescribed due date, you may file under extension. This
Pay Online
will allow you an additional 6 months to file your return, or
Taxpayers can now visit
until October 15, 2013 for traditional calendar year filers.
to pay online. Online payments reduce errors and provide
However, the extension to file DOES NOT allow you to
instant payment confirmation. Revenue Online also allows
extend your payment due date. You must pay at least 90%
users to submit various forms and to monitor their tax
of your tax liability by the original due date of your return
account. A DR 0158-N is not required if an online payment is
(or April 15th) and the remainder by the filing extension
made. Please be advised that a nominal processing fee may
due date (or October 15th) to avoid delinquent payment
apply to online payments.
penalties.
Pay by Electronic Funds Transfer (EFT)
Penalties and Interest
EFT Debit and EFT Credit options are free services
If the 90% rule is NOT met by the original due date, then
offered by the department. EFT services require
delinquent penalty and interest will be assessed when you
pre-registration before payments can be made. Visit
file your return. If 90% or more of your tax liability is paid
for more information.
by the original due date, and the remaining balance is paid
by the extension due date, no penalty will be assessed.
However, you will be billed interest, but only on the
amount being paid by the extension due date.
Use the coupon below only if you are unable to 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.
(0049)
2012 Payment Voucher for Extension of Time for
DR 0158-N (09/12/12) Web
DR 0158-N (09/12/12)
Filing a Colorado Composite Nonresident
COLORADO DEPARTMENT OF REVENUE
70
Income Tax Return
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 DR 158-N” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with
this voucher.
Name
Colorado Account Number
Federal Employer Identification Number
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 uncol-
(08)
lected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.
.00
$
(Do not write in space below)

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