Form Dr 1778 - E-Filer Attachment Form
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DR 1778 (07/31/12)
COLORADO DEPARTMENT OF REVENUE
1375 Sherman Street
Denver, CO 80261-0006
e-filer Attachment Form
For Tax Year ________ or fiscal year beginning ________________, Ending ________________
Tax Type:
Individual Income
C-Corp Income
Partnership Income
S-Corp Income
LLC Income
LP Income
LLP Income
LLLP Income
Association Income
Non-Profit Income
Please Print or Type
Taxpayer Name
Taxpayer SSN
Spouse Name (if applicable)
Spouse SSN (if applicable)
Taxpayer Address
Federal Employer ID Number
City
ZIP Code
State
Mark the box for the Documents Submitted. For further information visit the Department of Revenue Web site
Other state(s) income tax return(s)
Enterprise Zone Credit: DR 0074, DR 0075, DR 0076 or DR 0077 certificates
Gross Conservation Easement: DR 1303, DR 1304 and/or DR 1305 and supplemental documentation
Aircraft Manufacturer New Employee Credit: DR 0085 and/or DR 0086
Innovative Motor Vehicle Credit: Vehicle purchase invoice
Child Care Contribution Credit: DR 1317
Claim for refund on behalf of deceased taxpayer: DR 0102, death certificate
Colorado Source Capital Gain Subtraction: DR 1316
Job Growth Incentive Tax Credit: Certification letter from the Colorado Development Commission
Low-Income Housing Credit: CHFA certification letter
Non-resident Partner, Shareholder or Members Agreement: DR 0107
Plastic Recycling Credit: Required documentation to substantiate credit (receipts, bills, etc.)
School-to-Career Investment Credit: Certification letter
Other Documentation for credits/subtractions claimed (mark the Other box below and enter details)
Other (explain) _______________________________________________________________________________
Signature of Taxpayer or Preparer
Date
Instructions For DR 1778
The Department strongly recommends that you submit these documents using the E-Filer Attachment option of
, which eliminates the requirement to mail this form. Failure to timely submit required documentation
will result in denial of the related credit. Revenue Online E-Filer Attachment provides you with a confirmation number and will be
available to the Department immediately. Otherwise, complete this form, package it with your documentation and mail to the address
below. Using this form can extend return processing time up to 6 weeks.
Colorado Department of Revenue
1375 Sherman Street
Denver, CO 80261-0006
You must resubmit your supporting documentation if you file an amended return.
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