DR 0107 (06/22/22)
                                                       COLORADO DEPARTMENT OF REVENUE
                                                       Denver CO 80261-0008
*220107==19999*                                        Tax.Colorado.gov
                                                       Page 1 of 1

          2022 Colorado Nonresident Partner or Shareholder Agreement

Taxable Year of Partner or Shareholder                                Taxable Year of Pass-Through Entity
Beginning MM/DD/YYYY         Ending MM/DD/YYYY                         Beginning MM/DD/YYYY              Ending MM/DD/YYYY

Name and Address of Nonresident Partner or Shareholder                Name and Address of Pass-Through Entity
SSN or ITIN                            FEIN                            Colorado Account Number           FEIN
                
Last Name or Business Name                                            Last Name or Business Name

First Name                                             Middle Initial  First Name                                         Middle Initial

Street or Mailing Address                                             Street or Mailing Address

City                                                                  City

State      ZIP                                                         State      ZIP

I agree to file a Colorado income tax return and make timely payment of all taxes imposed by the state of Colorado 
with respect to my share of the Colorado income of the pass-through entity named above. I also agree to be subject to 
personal jurisdiction in the state of Colorado for purposes of the collection of unpaid income tax together with related 
penalties and interest. I furthermore understand the Department of Revenue will consider the timely first filing of this 
agreement as applicable to all future filing periods unless notified otherwise.
Taxpayer's or Authorized Agent's Signature                                                               Date (MM/DD/YY)

                             Submit this agreement when filing the Colorado form DR 0106
A nonresident partner or shareholder can complete this form DR 0107 to establish that they will report the Colorado source 
income and pay the Colorado tax on any income derived from a Colorado partnership or S corporation.
This form shall be delivered by the nonresident partner or shareholder to the partnership or S corporation, which shall later 
be submitted by the partnership or S corporation with form DR 0106. This form need only to be filed with the Department 
for the year in which the agreement is made.
See the instructions for Nonresident Partners and Shareholders in the 106 Book and the income tax guidance publications 
available at Tax.Colorado.gov for more information.