Form Dr 0617 - Innovative Motor Vehicle Credit - 2013
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DR 0617 (08/30/13)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261 - 0005
Innovative Motor Vehicle Credit
Tax Year 2013
See page 3 for instructions
Use this form to claim innovative motor vehicle credits. A separate form must be completed for each qualifying vehicle.
Please see the instructions and FYI Income 67, available on-line at before competing this form.
Last Name or Business Name
First Name
Middle Initial
SSN
FEIN
Colorado Account Number
Part 1. Vehicle Information
1. Model Year
1
2. Vehicle Make
2
3. Vehicle Model
3
4. Vehicle Identification Number (VIN)
4
5. Date of purchase, lease, or conversion
5
6. Was the vehicle:
purchased new
purchased used
leased
converted
Part 2. General credit calculation for vehicle purchase
7. Incremental price difference or conversion cost (see instructions)
7
00
8. Federal credit for which the purchaser, lessor, or lessee is eligible
8
00
9. Any other grants, credits, or rebates for which the purchaser, lessor, or lessee is eligible
9
00
10. Line 8 plus line 9
10
00
11. Line 7 minus line 10
11
00
If vehicle was leased or purchased used, complete lines 12, 13, and 14. If vehicle was purchased new, skip lines 12,
13, and 14 and enter 1.00 on line 15.
12. Used cost or leased value (see instructions)
12
00
13. MSRP (or lessor’s adjusted vehicle cost for leased vehicle)
13
00
14. Divide line 12 by line 13
14
15. Enter 1.00 or the amount from line 14, whichever is less
15
16. Adjusted incremental price difference, line 11 multiplied by line 15
16
00
17. Credit percentage (see instructions)
17
%
18. Tentative tax credit, line 16 multiplied by line 17
18
00
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