DR 0900F (06/24/22)
                                               COLORADO DEPARTMENT OF REVENUE
                                               Denver CO 80261-0008
*220900F=19999*                                Tax.Colorado.gov
                                               Page 1 of 1
                                               (0031)

                        2022 Fiduciary Income Tax Payment Form

                                                     Caution!

    This form MUST accompany your payment if you filed electronically and wish to pay by check.
                  If you paid electronically or do not owe a payment do not return this form.

 The Department strongly recommends that you file using     Complete the form below. The amount on the check and 
 Revenue Online (Colorado.gov/RevenueOnline) or             the amount entered on the form must be the same. This 
 another electronic filing method and remit your payment    will help maintain accuracy in your tax account. Be sure 
 electronically or by EFT. Information on EFT can be found  to keep a copy of the money order or note the check 
 at Tax.Colorado.gov/electronic-funds-transfer              number with your tax records.
 To pay by mail, make check or money order payable to the   DO NOT submit the DR 0105 if you have already filed 
 “Colorado Department of Revenue.” Be sure to round your    electronically.
 payment to the nearest dollar. Clearly write your Colorado 
 Account Number or Federal Employer Identification 
 Number (FEIN) and “2022 DR 0105” on the memo line.

                        DO NOT CUT – Return Full Page
DR 0900F
                                                            Beginning (MM/DD/22)                                                       Ending (MM/DD/YY)
        For the calendar year 2022 or the fiscal year

Return the DR 0900F 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 Colorado Account Number or FEIN and “2022 DR 0105” on your check or 
money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form.
 FEIN                                                Colorado Account Number

 Name of Estate or Trust

 Name of Fiduciary

Address

City

 State                                                                                                                              ZIP

                                                                                                                                       Amount of Payment
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 insufficient or 
uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.         $

       DO NOT CUT – Return Full Page. IF NO PAYMENT IS DUE, DO NOT FILE THIS FORM.