Form Dr 1735 - Foreign Capital Depository Tax Return

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DR 1735 (12/11/06) WEB
colorao departMent of reVenue
DENVER, CO 80261-0009
foreign capital depository tax return
see form Below
wHen you Must file
period
due date
Jun - Nov
Dec 15
Dec - May
Jun 15
DETACH FORM
ON THIS LINE
Mail coMpleted forM witH payMent to tHe
colorado departMent of reVenue, denVer co 80261-0009
DR 1735 (12/11/06) WEB
colorado departMent of reVenue
DENVER, CO 80261-0009
foreign capital depository tax return
Account Number
Period
Due Date
FEIN
Taxpayer Name
round to the nearest dollar
1510-100
Address
1. Taxable Asset Value
$
00
City
State
ZIP
2. Tax (line 1 times .0025)
$
00
(100)
3. Penalty
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
00
(200)
Line 2 x .10
be returned. If your check is rejected due to insufficient or uncollected funds, the Department of
4. Interest
Revenue may collect the payment amount directly from your bank account electronically.
signed under penalty of perJury in tHe second degree
00
(300)
5. total reMitted
$
00
(355)
Add Lines 2 through 4
Signature
Date
Phone

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