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                                           DR 0021X (08/06/20) 
                                           COLORADO DEPARTMENT OF REVENUE 
                                           Denver CO 80261-0006 
*DO=NOT=SEND*                              Tax.Colorado.gov

                      2020 Amended Colorado Oil and Gas Severance 
                                                  Tax Return

                                                  Instructions

The Amended Colorado Oil and Gas Severance                          How do I use Direct Deposit?
Tax Return (DR 0021X) is required to be used when                   The routing number must be nine digits. The account number 
correcting your Colorado Oil and Gas Severance Tax                  can be up to 17 characters (both numbers and letters). Include 
Return (DR 0021).                                                   hyphens but omit spaces and special symbols.
Statute of Limitations
The statute of limitations for filing a Colorado severance tax 
claim for refund is generally three years from the due date of the 
original return or three years from the date of last tax payment 
for the year involved, whichever is later.
Refund for Deceased Taxpayer
To request a refund for a deceased taxpayer, write “deceased” 
across the top of the return and the date of death next to the 
deceased  person’s  name.  Additionally,  you  must  sign  the 
return and write “filling as surviving spouse” or “filling as legal 
representative” by your signature.                                  You  should  contact  your  financial  institution  to  ensure  your 
Any person other than the surviving spouse who files a return       deposit will be accepted and to obtain the correct routing and 
and requires a refund on behalf of a deceased person must           account numbers. This is especially important if you want your 
attach a copy of the death certificate and the DR 0102, Claim       refund deposited to a savings account at a credit union. The 
for Refund for Deceased Taxpayer.                                   Department of Revenue is not responsible for a lost refund if 
Colorado Account Number                                             you enter the wrong account information. Any refund claim that, 
For business accounts, enter your Colorado account number           for any reason, cannot be deposited into the account specified 
and your  Federal Employer Identification Number (FEIN) in          will be issued and mailed in check form instead.
the spaces provided. For individuals, enter your Social Security    Interest
number or ITIN.                                                     If the return is amended after the original due date of the return, 
Lines 11 through 17                                                 interest at the applicable statutory rate will accrue on any balance 
Compute the amount owed to the state on the amended return.         of tax due until paid. Interest rates are published on our web 
Any decrease in the amount of the overpayment (line 11) or          site at Tax.Colorado.gov
increase  in the amount owed (line  12) will  indicate  that an     Penalty
amount is owed with the amended return. To pay the amount you       The penalty on any balance of tax due is $30 or 30% of the 
owe, write your Colorado account number or Federal Employer         balance of tax due, whichever is greater.
Identification Number (FEIN) on your check. Enclose but do not      Reason for amended return
attach your payment with DR 0021X.                                  Attach an explanation and any documentation, including schedule 
Lines 18 through 21                                                 DR 0021D, and DR 0021PD, if applicable, needed to substantiate 
Compute  the  amount  of  credit  available  on  the  amended       the changes reported on the amended return.
return. Any increase in the amount of the overpayment (line         Forms and Information
18) or decrease in the amount owed (line 19) will indicate that     If  you have any questions you  may call the  Department of 
an overpayment is available  with the amended return.  The          Revenue at  (303) 238-SERV  (7378) or see our web site at 
overpayment can be credited to estimated tax (line 21) for the      Tax.Colorado.gov for forms and information.
tax year following the period on the amended return, or can be 
requested as a refund (line 20).
Direct Deposit
The department can deposit your refund directly into your account 
at a U.S. bank or other financial institution (such as a mutual 
fund, brokerage firm, or credit union) in the United States.



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                                            DR 0021X (08/06/20) 
                                            COLORADO DEPARTMENT OF REVENUE 
                                            Denver CO 80261-0006 
*200021X=19999*                             Tax.Colorado.gov
                                            Page 1 of 2

       2020 Amended Colorado Oil and Gas Severance Tax Return
                                                                                                                                   (7102)
For Taxable Year (2020)                     Fiscal Tax Year Beginning (MM/20)                        Fiscal Tax Year Ending (MM/YY)

                 2020
Last Name or Business Name                                              First Name                                                 Middle Initial

                           SSN or ITIN                                  Colorado Account Number (if applicable)
Deceased                Yes

If Joint, Spouse or Partner Last Name (see controlled group definition) First Name                                                 Middle Initial

                           SSN or ITIN                                  FEIN (if applicable)
Deceased                Yes

Address

Foreign Country                             City                                   State             Zip       Phone Number

If this is a final return, check this box   Are you a producer of Colorado Oil or Gas?                         Yes                  No

Check one:                 Cash Basis Filer                 Accrual Basis Filer

Tax and Credit – Complete schedule DR 0021D first. Include the DR 0021D with this form when you file     Round to the nearest dollar

1. Oil and gas tax, enter amount from line 5, DR 0021D                               1               $                              00

2. Impact assistance credit                                                          2               $                              00

3. Net tax, line 1 minus line 2 but not less than zero                               3               $                              00
                                                       Prepayments

4. Severance tax withheld, attach form(s) DR 0021W                                   4               $                              00

5. Estimated tax and extension payments                                              5               $                              00

6. Total Prepayments, sum of lines 4 and 5                                           6               $                              00
Stop Stop here to let the department calculate your refund or balance due. Otherwise, manually complete the return 
     yourself and continue with line 7. 

7. If line 6 is larger than line 3, enter your overpayment                           7               $                              00

8. Enter the overpayment from your original return or as previously adjusted         8               $                              00

9. If line 3 is larger than line 6, enter the amount owed                            9               $                              00

10. Enter the amount owed from your original return or as previously adjusted        10              $                              00



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                                                 DR 0021X (08/06/20) 
                                                 COLORADO DEPARTMENT OF REVENUE 
                                                 Denver CO 80261-0006 
*200021X=29999*                                  Page 2 of 2
                                              Compute the amount you owe

11. Line 8 minus line 7, but not less than zero                                   11 $                   00

12. Line 9 minus line 10, but not less than zero                                  12 $                   00

13. Additional tax due, total of lines 11 and 12                                  13 $                   00

14. Interest due on additional tax                                                14 $                   00

15. Penalty due                                                                   15 $                   00

16. Estimated tax penalty due                                                     16 $                   00
                                                             
17. Payment due with this return, sum of lines 13 through 16      Paid by EFT     17
                                                                                     $ 
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.
                                                 Compute your refund

18. Line 7 minus line 8 but not less than zero                                    18 $                   00

19. Line 10 minus line 9, but not less than zero                                  19 $                   00

20. Refund claimed with this return, sum of lines 18 and 19                       20 $                   00
21. Overpayment credited to next year’s estimated tax 
      (Do not include this amount on line 20)                                     21 $                   00

                    Routing Number                                        Type:     Checking Savings
      Direct
      Deposit       Account Number

Reason for Amendment

Last Name of person preparing return                           First Name                                Middle Initial

Address of person preparing return                                        Phone Number

City                                                                                         State    Zip

Under penalty of perjury in the second degree, I declare that I have examined this return and to the best of my knowledge 
and belief it is true, correct and complete. 
Signature of Individual Taxpayer                                                       Date (MM/DD/YY)

Spouse’s Signature                                                                     Date (MM/DD/YY)

      Signature of Corporate Officer                                                   Date (MM/DD/YY)

      Mail to and make checks payable to:        Colorado Department of Revenue, Denver, CO 80261-0006






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