*201778==19999*
For Tax Year (MM/DD/YY) or scal year beginning (MM/DD/YY)
Tax Type
Individual Income C Corporation Income Partnership Income S Corporation Income LLC Income
LP Income LLP Income LLLP Income Association Income Non-Prot Income
Please print or type
Taxpayer Last Name First Name Middle Initial
Spouse’s Last Name (if applicable) First Name Middle Initial
Taxpayer SSN or ITIN Spouse SSN or ITIN (if applicable) FEIN
Taxpayer Address
City State Zip
Mark the box for the documents submitted. See the Colorado Department of Revenue, Taxation Division website at
Tax.Colorado.gov for more information about these credits.
Other state(s) income tax return(s) Colorado Source Capital Gain Subtraction: DR 1316
Enterprise Zone Credit: DR 1366 and any applicable
certication forms from the Zone Administrator
Job Growth Incentive Tax Credit: Certication letter from
the Colorado Economic Development Commission
Gross Conservation Easement: DR 1305, DR 1305G,
and supplemental documentation
Affordable Housing Credit: CHFA certication
letter
Aircraft Manufacturer New Employee Credit:
DR 0085 and/or DR 0086
Nonresident Partner, Shareholder or Members
Agreement: DR 0107
Innovative Motor Vehicle Credit: Vehicle registration
and the purchase invoice.
Plastic Recycling Credit: Required documentation
to substantiate credit (receipts, bills, etc)
Child Care Contribution Credit: DR 1317 School-to-Career Investment Credit: Certication letter.
Claim for refund on behalf of deceased taxpayer:
DR 0102, death certicate, and, if applicable, court
documents
Other documentation for credits/subtractions claimed
(mark the Other box below and enter details)
Other
Explain
Signature of Taxpayer or Preparer Date (MM/DD/YY)
E-Filer Attachment Form
DR 1778 (08/17/20)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0006
Tax.Colorado.gov
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