*210158-I19999*
DR 0158-I (06/03/21)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0008
Tax.Colorado.gov
Page 1 of 1
(0019)
2021 Extension Payment for Colorado Individual Income Tax
(calendar year — Due April 15, 2022)
Filing extensions are granted automatically, only return this form if you need to make an additional payment of tax.
DR 0158-I (
06/03/21
)
Tax Payment Worksheet – Photocopy for your records before returning
1. Income tax you expect to owe
2. Tax payments and credits:
a. Colorado income tax withheld
b. Colorado estimated income tax payments
c. Other payments and credits
d. Total tax payments and credits – Add lines 2a through 2c
3. Tax due–Subtract line 2d from line 1. Enter the result here and on the form below
Return the DR 0158-I with check or money order payable to the “Colorado Department of Revenue”. Mail payments to Colorado Department
of Revenue, Denver, Colorado 80261-0008. These addresses and zip codes are exclusive to the Colorado Department of Revenue, so a
street address is not required. Write your Social Security number or ITIN and “2021 DR 0158-I” on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment by check or money order.
SSN or ITIN
Your Last Name First Name Middle Initial
Spouse’s SSN or ITIN
Spouse’s Last Name (if joint) Spouse’s First Name Middle Initial
Address
City State ZIP Code
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 insufcient or
uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.
Amount of Payment
$
DO NOT CUT – Return Full Page
IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM
Automatic Filing Extension
Colorado offers an automatic six-month extension to le your
income tax return if you cannot submit your return by the April 15
due date. This means that you can le your return by October 15.
While there is an extension to le, there is not an extension
to the payment due date. Penalty and interest are assessed
if certain payment criteria are not met. Please review
FYI General 11 for more information on penalty and interest.
If you must wait until October 15 to le your return, use the
following worksheet to calculate whether you need to remit
a payment on April 15. If the due date falls on a weekend or
federal holiday, payment will be due the next business day.
Persons Traveling or Residing Abroad
If you are traveling or residing outside the United States on
April 15, the deadline for ling your return is June 15. The
extension due date for ling remains October 15. If the due
date falls on a weekend or federal holiday, payment will be
due the next business day.
Pay Online
Visit Colorado.gov/RevenueOnline to pay online. Online payments
reduce errors and provide instant payment conrmation. Revenue
Online also allows users to submit various forms and to monitor
their tax account. Electronic Funds Transfer (EFT) Debit and Credit
options are free services offered by the department. EFT services
require pre-registration before payments can be made. Visit
Tax.Colorado.gov/electronic-funds-transfer for more information.
The DR 0158-I is not required to be sent if an online payment
is made. Please be advised that a nominal processing fee may
apply to e-check or credit card payments.
