Colorado Fiduciary Tax Booklet - 2012 Page 11
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12Page 11
GO GREEN! GO ONLINE!
Forms, Information and e-Services
Find Information
Manage your Account
Review tax publications
File a return
Review the Tax Index
Make a payment
Download forms
View letters and bills
Take an online workshop
Send a Secure Message to the department
More services and information available. GO ONLINE TODAY!
DETACH FORM
ON THIS LINE
Cut here and send only the coupon below. Help us save time and your tax dollars.
2012 Colorado Nonresident Beneficiary
(0068)
FORM 104BEP Web (09/13/12)
FORM 104BEP (09/13/12)
COLORADO DEPARTMENT OF REVENUE
COLORADO DEPARTMENT OF REVENUE
Estimated Income Tax Payment Voucher
Denver CO 80261-0008
Denver CO 80261-0008
Payment for Nonresident Beneficiary — See Instructions on Page 3
70
For tax period ______________________, 2012, ending _________________________ .
Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Write the beneficiary’s
Social Security number and “2012 Form 104BEP” on the check or money order. Do not send cash. File only if you are making a payment. Submit a separate
check or money order for each document. Payment is due at the time the income is distributed.
Beneficiary’s Last Name
First Name and Middle Initial
Address
Social Security Number
State
ZIP
City
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 uncollected funds,
the Department of Revenue may collect the payment amount directly from your bank account electronically.
(08)
(Do not write in space below)
$
.0 0
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial