Fillable DR0104AD 2019 (Colorado DORA)

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DR0104AD 2019 (Colorado DORA)

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*190104AD19999*
DR 0104AD (
10/15/19
)
COLORADO DEPARTMENT OF REVENUE
Colorado.gov/Tax
2019 DR 0104AD – Subtractions from Income Schedule
If claiming a subtraction and ling by paper, you must submit this schedule with your return.
Use this schedule to report any subtractions from your Federal Taxable Income. These subtractions will change your
Colorado Taxable Income from the amount of Federal Taxable Income. See instructions in the income tax booklet for
additional guidance on completing this schedule. Do not enter negative amounts. You must submit this form along with
the DR 0104 if claiming any subtractions.
Name SSN or ITIN
Subtractions from Federal Taxable Income
1. State Income Tax Refund from federal income tax form 1040 or 1040 SR,
Schedule 1 line 1. 1
0 0
2. U.S. Government Interest 2
0 0
3. Primary Taxpayer Pension, Annuity, IRA,
Social Security, or Disability Income
(see instructions)
Deceased SSN or ITIN
3
00
4. Spouse Pension, Annuity, IRA, Social
Security, or Disability Income
(see instructions)
Deceased SSN or ITIN
4
00
5. Primary Taxpayer Military Retirement Benets (under age 55), you must submit
copies of all 1099R statements with your return. (see instructions) 5
0 0
6. Spouse Military Retirement Benets (under age 55), you must submit copies of all
1099R statements with your return. (see instructions) 6
0 0
7. Colorado Capital Gain Subtraction 7
0 0
8. CollegeInvest Contribution:
(see instructions)
Owner’s SSN or ITIN
8
00
Total Contribution Owner’s Name
9. Qualifying Charitable Contribution
Total Contribution
9$
0 0
10. Qualied Reservation Income 10
0 0
11. PERA/DPSRS Subtraction, for PERA contributions made in 1984–1986 or
DPSRS contributions made in 1986 11
0 0
*190104AD29999*
DR 0104AD (
10/15/19
)
COLORADO DEPARTMENT OF REVENUE
Colorado.gov/Tax
Name SSN or ITIN
12. Railroad Benet Subtraction 12
0 0
13. Wildre Mitigation Measures Subtraction 13
0 0
14. Colorado Marijuana Business Deduction 14
0 0
15. Non-Resident Disaster Relief Worker Subtraction 15
0 0
16. Reacquisition of Colorado Residency During Active
Duty Military Service Subtraction 16
0 0
17. Agricultural Asset Lease Deduction.
Enter CADA certicate number and submit
a copy of your certicate with your return
CADA Certicate Number
17
0 0
18. First Time Home Buyer Savings Account Interest Deduction, you must submit
form DR 0350(s) with your return 18
0 0
19. Other Subtractions, explain below 19
0 0
Explain
20. Subtotal, sum of lines 1 through 19, transfer the amount to line 5
on the DR 0104 20
0 0
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Completed 19 July 2020

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