Form Dr 1778 - E-Filer Attachment Form
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1DR 1778 (08/13/13)
*131778==19999*
COLORADO DEPARTMENT OF REVENUE
e-Filer Attachment Form
Denver, CO 80261-0006
For Tax Year
or fiscal year beginning
(MM/DD/YY)
MM/DD/YY)
Tax Type
Individual Income
C-Corp Income
Partnership Income
S-Corp Income
LLC Income
Association Income
Non-Profit Income
LP Income
LLP Income
LLLP Income
Please print or type
Taxpayer Last Name
First Name
Middle Initial
Spouse Name (if applicable)
First Name
Middle Initial
Taxpayer SSN
Spouse SSN (if applicable)
FEIN
Taxpayer address
City
State
Zip
Mark the box for the documents submitted. For further information visit the Department of Revenue Web site
.
Colorado Source Capital Gain Subtraction:
Other state(s) income tax return(s)
DR 1316
Job Growth Incentive Tax Credit: Certification
Enterprise Zone Credit: DR 1366 and any
applicable certification forms from the Zone
letter from the Colorado Department Commission.
Administrator
Gross Conservation Easement: DR 1303, DR 1304
Low-Income Housing Credit: CHFA certification
and/or DR 1305 and supplemental documentation.
letter
Aircraft Manufacturer New Employee Credit:
Non-resident Partner, Shareholder or Members
Agreement: DR 0107
DR 0085 and/or DR 0086
Plastic Recycling Credit: Required documentation
Innovative Motor Vehicle Credit: Vehicle registration
and the purchase invoice or bill of sale.
to substantiate credit (receipts, bills, etc)
Child Care Contribution Credit: DR 1317
School-to-Career Investment Credit:
Certification letter.
Claim for refund on behalf of deceased taxpayer:
Other documentation for credits/subtractions
DR 0102, death certificate
claimed (mark the Other box below and enter
details)
Other
Explain
Signature of Taxpayer or Preparer
Date
(MM/DD/YY)
Instructions for DR 1778
The Department strongly recommends that you submit
Otherwise, complete this form, package it with your
these documents using the e-Filer Attachment option of
documentation and mail to the address below. Using this
, which eliminates the
form can extend return processing time up to 6 weeks.
requirement to mail this form. Failure to timely submit
required documentation will result in denial of the related
Colorado Department of Revenue
Denver, CO 80261-0006
credit. Revenue Online e-Filer Attachment provides you
with a confirmation number and will be available to the
You must resubmit your supporting documentation if you
Department immediately.
file an amended return.
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