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Nonresident Partner Shareholder Or Member Agreement DR 0107 - Colorado
| Nonresident Partner Shareholder Or Member Agreement Form. This is a Colorado form and can be used in General Dept Of Revenue Statewide . |
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DR 0107 (09/12/12) Web COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0006 www.TaxColorado.com 2012 Colorado Nonresident Partner, Shareholder or Member Agreement Taxable Year of Pass-Through Entity: Taxable Year of Partner, Shareholder or Member: Name and Address of Nonresident partner or Shareholder or Member Name Street or Mailing Address City, State, ZIP Social Security or Colorado Account Number Beginning ____/____/2012 Ending ____/____/20___ Beginning ____/____/2012 Ending ____/____/20___ Name and Address of Pass-Through Entity Name Street or Mailing Address City, State, ZIP Colorado Account Number Federal Number (FEIN) I agree to file a 2012 Colorado income tax return and make timely payment of all taxes imposed by the state of Colorado with respect to my share of the Colorado income of the pass-through entity named above. I also agree to be subject to personal jurisdiction in the state of Colorado for purposes of the collection of unpaid income tax together with related penalties and interest. Taxpayer's or authorized agent's signature Date Submit this agreement when filing the Colorado Form 106 Forms DR 0107 and DR 0108 are to be used with respect to nonresident partners, shareholders or members of a pass-through entity. See Form 106 for additional information. Photocopy this form as needed. Cut here and send only the coupon below. Help us save time and your tax dollars. 0018 DR 01080108 (08/28/12) DR (08/28/12) Web COLORADO DEPARTMENT OF REVENUE www.TaxColorado.com 2012 Statement of Colorado Tax Remittance for Nonresident Partner, Shareholder or Member 70 Return this voucher with check or money order payable to the Colorado Department of Revenue, Denver, Colorado 80261-0008. Enter on form DR 0108 the name and Social Security number or FEIN of the nonresident partner, shareholder or member who will ultimately claim this payment. Please read publication FYI Income 54 before filing the DR 0108. Do not send cash. Enclose, but do not staple or attach, your payment with this voucher. Name of nonresident partner, shareholder or member (Last Name, First Name, MI) Address City Name of Pass-Through Entity Address City State ZIP Social Security Number Federal Employer ID Number Shareholder is (mark one): Individual Estate or Trust Do not use this form for a C-Corporation or Partnership / S-Corp / LLC Colorado Account Number Federal Employer Identification Number State ZIP IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM. The State may convert your check to a one time electronic banking transaction. Your bank account may nonresident partner or shareholder 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 2. Colorado tax remitted, the payment amount directly from your bank account electronically. 1. Colorado-source income for $ $ American LegalNet, Inc. www.FormsWorkFlow.com .00 .00 (Do not write in space below) 4.63% of amount on line 1 (08)
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