Form 104EP Fillable Estimated Tax -- Current Year Individual Coupon
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

$ 00(Do not write in space below)*150104EP19999*Amount of Payment (0012) DR 0104EP (06/23/14) (1 2014 Overpayment Applied) (1 Estimated 2015 Colorado taxable income) (1 Net Amount Due) (1 Payment Due) (2 2014 Overpayment Applied) (2 Estimated 2015 Colorado income tax 4 63% of line 1) (2 Net Amount Due) (2 Payment Due) (3 2014 Overpayment Applied) (3 Estimated 2015 Colorado alternative minimum tax) (3 Net Amount Due) (3 Payment Due) (4 2014 Overpayment Applied) (4 Estimated 2015 recapture of prior year credits) (4 Net Amount Due) (4 Payment Due) (5 Total of lines 2 3 and 4) (6 Estimated 2015 Form 104CR credits) (7 Line 5 minus line 6) (8 Estimated 2015 Colorado withholding tax) (9 Net estimated tax line 7 minus line 8) (Address) (Amount of Payment) (City) (First Name) (Middle Initial) (Spouse s Last Name) (Spouse SSN) (SSN) (State) (Your Last Name) (Zip) 1 Estimated 2015 Colorado taxable income $ 12 month tax year the individual filed a Colorado 2 Estimated 2015 Colorado income tax 4 63% of line 1 $ 2015 Colorado Estimated Income Tax 2015 income tax return 2015 Worksheet 3 Estimated 2015 Colorado alternative minimum tax $ 303 238 SERV (7378) for assistance 4 Estimated 2015 recapture of prior year credits $ 5 Total of lines 2 3 and 4 $ 6 Estimated 2015 Form 104CR credits $ 7 Line 5 minus line 6 $ 8 Estimated 2015 Colorado withholding tax $ 9 Net estimated tax line 7 minus line 8 $ a 12 month year and the individual filed a Colorado a 70% of the actual net Colorado tax liability Additional information FYI publications and forms are Address and are unable to pay online or by EFT Annualized Installment Method Any overpayment designated for carryforward on your applied to the first estimated tax payment due for this tax April 15 available at www TaxColorado com available at www TaxColorado com or you can call available in publication FYI Income 51 b 100% of the preceding year s net Colorado tax liability by March 1 Otherwise penalty will be calculated for c 110% of the preceding year s net Colorado tax liability Calculating the Payment Carryforward of Estimated Overpayment City State Zip COLORADO DEPARTMENT OF REVENUE Colorado Estimated Colorado Income Tax Return form and instructions for help Colorado income tax return from the previous year must be Cut here and send only the coupon below Help us save time and your tax dollars Denver CO 80261 0008 DETACH FORM determining taxable income Those who file joint returns directly from your bank account electronically dividends rents etc would be subject to estimated tax DR 0104EP (06/23/14) Due Dates: If the due date falls on a weekend or federal holiday payment will be due the next business day each missed or late payment For calculation specifics EFT payments can be made safely and for free and can be electronic payments Enclose but do not staple or attach your payment with this voucher File only if you are making a payment of estimated tax Estimated tax is the method used to pay tax on income Estimated tax payments can only be claimed as estimated tax to the Colorado Department of Revenue See Failure to timely remit estimated tax as necessary will General Rule Go Green with Revenue Online If No Payment Is Due Do Not File This Form The State may convert your check to a one time electronic banking In most cases you will pay estimated tax if you expect to Individual Estimated Income Tax Instructions instructions for the annualized installment method are is filed January 15 2016 June 15 make a quarterly payment This requires pre registration before manner until such time that the Colorado income tax return must make the payment under the taxpayer name and ID not enough to be excluded from the General Rule below If not required if electronic payment is remitted through this site number that will be listed first on the income tax return of estimated tax owed Reference the previous year ON THIS LINE Use the coupon below only if you are unable to pay online or by EFT or to remit this penalty before being billed see Form 204 owe more than $1 000 in tax for 2015 after subtracting any Pay by Electronic Funds Transfer Payment Number Net Amount Due 2014 Overpayment Applied Payment Due Due Dates Payment Voucher payments can be made Visit www Colorado gov/revenue/eft for Penalties period Please be advised that a nominal processing fee may apply to prepayment credit on the 2015 Colorado income tax return publication FYI Income 51 for more information which is Refunds registration information Remit payments according to the due date table provided in remit payments and monitor their tax accounts Form 104EP is Required Payments result in an estimated tax penalty Exceptions will be given return return and the federal adjusted gross income on Return this voucher with check or money order payable to the Colorado Department of Revenue Denver Colorado80261 0008 Write your Social Security number and 2015 DR 0104EP on your check or money order Do not send cash returned If your check is rejected due to insufficient or uncollected funds the Department of Revenue may collect the payment amount Round your payment to the nearest dollar If paying by check the amount on the check and the amount entered on the paymentvoucher must be the same This will help maintain accuracy in your tax account It is strongly recommended that estimated payments besubmitted online at www Colorado gov/RevenueOnline or by EFT at www Colorado gov/revenue/eft to avoid problems or delays with the scheduled up to 12 months ahead of time to avoid forgetting to separately $75 000 or less) September 15 Spouse s Last Name First Name Middle Initial Spouse SSN Tax Individuals that is not subject to withholding Wages typically have that return was $150 000 or less (or if married filing The required annual amount to be paid is the smaller of: the worksheet the year may elect to file using this method Specific Therefore estimated payments cannot be refunded in any This amount applies only if the preceding year was This rule only applies if the preceding year was a Those who do not receive income evenly throughout to farmers or fishermen who file and remit full payment transaction Your bank account may be debited as early as the same day received by the State If converted your check will not be Underpayment of Individual Estimated Tax Use the provided Worksheet to calculate the amount withholding but earnings from self employment interest withholding or refundable credits you might have www Colorado gov\RevenueOnline allows taxpayers to file taxes www TaxColorado com you file form 1040 ES with the IRS typically you would pay You might also pay estimated tax if your withholdings are Your Last Name First Name Middle Initial SSN