DR 1093 (08/12/20)
                                                      COLORADO DEPARTMENT OF REVENUE
                                                      Tax.Colorado.gov
*DO=NOT=SEND*

                         Annual Transmittal of State W-2 Forms (DR 1093)
                                                          Instructions
The DR 1093 Annual Transmittal of State W-2 Forms should          Line 3B Overpayment              –  If  line  2  is  greater  than  line  1, 
be filed in January for withholding taxes reported on W-2s for                   complete  line  3B.  Do not enter amount on 
the prior calendar year.                                                         line 6. A  tax  refund  will  be  issued  automatically 
If you are filing an amended return you are required to mark                     upon  processing  if  form  is  filed  timely,  a  review 
the amended Return box. A separate amended return must                           is  not  required,  and  there  are  no  outstanding 
be filed for each year. The amended return must show the                         delinquencies on the account. 
tax column as corrected, not merely the difference(s). The        Line 4         Penalty  –  Enter  5%  (.05)  of  tax  due  or  $5, 
amended return will replace the original return in its entirety.                 whichever  amount  is  greater,  for  any  payment 
Most  entities  are  required  to  file  an  Annual  Withholding                 made after the due date, add 1/2% (.005) additional 
Transmittal.  Attach  this  form  to  the  total  withholding                    penalty for each additional month you are late up 
statements (W-2s) that were furnished to each payee.                             to a maximum of 12% of the tax due. The minimum 
                                                                                 late filing penalty is $5.
•  If  you  use  the  electronic  method  for  filing  your  W-2s 
  (Revenue  Online,     www.Colorado.gov/RevenueOnline)           Line 5         Interest  –  Enter  the  interest  computed  on  the 
  submit this form if an amount appears on 3A or 3B. Mail                        balance of the tax due if you are filing this return after 
  this form to the address shown below.                                          the due date. Interest is due at the current statutory 
                                                                                 rate of .3333% (.003333) for each monthly payment 
•  If you file paper W-2 statements, you must always attach                      received after the due date.
  this form before submitting documents.
                                                                  Line 6         Additional Balance Paid – If line 1 is greater than 
Due Date                                                                         line 2, add lines 3A, 4 and 5. If lines 1 and 2 are 
• Active (Open) Accounts – This form must be postmarked                          equal, enter 0 (zero).
  on or before the last day in January  following the end of      Mail to and make checks payable to: 
  the year in which withholdings were made.                       Colorado Department of Revenue 
                                                                  Denver CO 80261-0009
• Inactive  (Closed)  Accounts  –  This  form  must  be 
  postmarked within thirty (30) days of the business closure. 
  Should either due date fall on a weekend or holiday, it will    For your records                        Filing period
  be extended to the next business day.
                                                                      1. Colorado income tax  
Completing the Transmittal Form                                          withheld per W-2s.
Line 1  Enter the total amount of state withholding withheld          2. Colorado income tax withheld 
        from all Colorado employees per W-2s.                            and paid.

Line 2  Enter the total Colorado withholding payments you             3. A. Balance Due
        remitted. Do not include penalty and/or interest                      or
        you paid.                                                        B. Overpayment
Line 3  If amount on lines 1 and 2 are the same, enter a              4. Penalty
        zero on line 6.                                                  (see instructions)  
Line 3A Additional Tax    – If line 1 is greater than line 2,         5. Interest
                                                                         (see instructions)  
        complete lines 3A, 4, 5, and 6. Penalty and interest 
        will  be  calculated  automatically  when  there  is  a 
                                                                      6. Additional Balance Paid          $
        balance due.

                                         DR 1093 (08/12/20)
                                         COLORADO DEPARTMENT OF REVENUE
                                         Tax.Colorado.gov
*201093==19999*                          Page 1 of 1

                                Colorado Department of Revenue 
                            Annual Transmittal of State W-2 Forms
SSN 1                                               SSN 2

FEIN                                                Account Number

Last Name or Business Name                          First Name                                                 Middle Initial

Address

City                                                                                              State     ZIP

Period (MM/YY – MM/YY)                              Due Date (MM/DD/YY)
                               –
Number of W-2s Attached                             Phone Number

Mark here if this is an Amended Return              Paid by EFT                                             1000-130

1. Total Colorado income taxes withheld per W-2 forms attached.
                                                                                                  (890)

2. Total Colorado income taxes remitted for the period indicated above. 
                                                                                                  (100)

3.  A. Balance Due If line 1 is more than line 2, enter difference and (see instructions)
                                                                                                  (415)

   B.  Overpayment If line 2 is more than line 1, enter the difference and (see instructions)
                                                                                                  (200)

4. Penalty (see instructions) 
                                                                                                  (300)

5. Interest (see instructions) 
                                                                                                  (355)

6. Additional Balance Paid Add lines 3A, 4 and 5 
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.
                            Mail reconciliation with W-2 forms and any payment due on line 6 to:
                                Colorado Department of Revenue, Denver, CO 80261-0009
       Signed under penalty of perjury in the second degree.
       Signature                                                                             Date (MM/DD/YY)