Colorado Income Tax Filing Guide - 2012 Page 4

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31. Estimated Tax Credit Carry Forward to 2013 first quarter, if any
31
00
Voluntary Contributions enter your donation amount, if any:
32. Nongame and Endangered Wildlife Cash Fund
32
00
33. Colorado Domestic Abuse Program Fund
33
00
34. Homeless Prevention Activities Program Fund
34
00
35. Western Slope Military Veterans Cemetery Fund
35
00
36. Pet Overpopulation Fund
36
00
37. Colorado Healthy Rivers Fund
37
00
38. Alzheimer’s Association Fund
38
00
39. Military Family Relief Fund
39
00
40. Colorado Cancer Fund
40
00
41. Make-A-Wish Foundation of Colorado Fund
41
00
42. Colorado 2-1-1 First Call for Help Fund
42
00
43. Unwanted Horse Fund
43
00
44. Goodwill Industries Fund
44
00
45. Families in Action for Mental Health Fund
45
00
46. Colorado Multiple Sclerosis Fund
46
00
47. Subtotal, add lines 31 through 46
47
00
48. Refund, subtract line 47 from line 30 (see page 10)
48
00
File using Revenue Online and enter Direct Deposit information to get your refund in half the time!
Amount You Owe
49. Net Tax Due, subtract line 28 from line 24 (include the subtotal from line 47)
49
00
50. Delinquent Payment Penalty (see instructions)
50
00
51. Delinquent Payment Interest (see instructions)
51
00
52. Estimated Tax Penalty (see instructions)
52
00
53. Amount You Owe, add lines 49, 50, 51 and 52
53
00
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.
Pay online at
or see instructions for other payment options.
We strongly recommend that you file using Revenue Online or another electronic method.
If you cannot e-file, mail to: Colorado Department of Revenue, Denver CO 80261-0005
Third Party Designee
Do you want to allow another person to discuss this return and any other information related to this return with the
Colorado Department of Revenue?
Yes. Complete the following
No
Designee’s Name
Telephone Number
(
)
Sign Below
Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true, correct, and complete.
Date
Your Signature
Spouse Signature. If joint return, BOTH must sign.
Date
Paid Preparer’s Name
Paid Preparer’s Address
Paid Preparer’s Telephone
(
)
(10/29/12)

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