DR 1106 (08/12/20)
                                                        COLORADO DEPARTMENT OF REVENUE
                                                        Tax.Colorado.gov
*DO=NOT=SEND*

            Instructions for Annual Transmittal of State 1099 Forms

The DR 1106 Annual Transmittal of State 1099s should be            Line 3B Tax Refund            — If line 2 is greater than line 1, 
filed  in  January  for  withholding  taxes  reported  on  Federal                 complete line 3B. Do not enter an amount on 
form 1099.                                                                         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. The amended return must show all                           is not required, and there are no outstanding 
tax columns as corrected, not merely the difference(s). The                        delinquencies on the account. 
amended return will replace the original return in its entirety.   Line 4          Penalty — Enter 5% (.05) of tax due or $5, 
Any 1099 statements you distribute that contain Colorado                           whichever amount is greater, for any payment 
state withholding must be sent to the department. Attach this                      made after the due date, add 1/2% (.005) additional 
form to the total withholding statements (1099s) that were                         penalty for each additional month you are late up 
furnished to each payee.                                                           to a maximum of 12% of the tax due. The minimum 
•  If  you  use  the  electronic  method  for  filing  your  1099s                 late filing penalty is $5.
(Revenue  Online,    www.Colorado.gov/RevenueOnline),                              Note: If the return is not timely filed and paid, penalty 
submit this form only if an amount appears on 3A or 3B.                            and interest will automatically be calculated.
Mail to the address shown below.                                   Line 5          Interest — Enter the interest computed on the 
•  If you file paper 1099 statements, you must always attach                       balance of the tax due if you are filing this return 
this form before submitting documents.                                             after the due date. Interest is due at the current 
For  additional  information,  see  the  Individual  Income  Tax                   statutory rate of .25% (.0025) for each month 
Guide available at Tax.Colorado.gov.                                               payment is received after the due date.
                                                                   Line 6          Additional Balance Paid —  If line 1 is greater 
Due Date - This form must be postmarked on or                                      than line 2, add lines 3A, 4 and 5. If lines 1 and 2 
before:                                                                            are equal, enter 0 (zero).
•  ACTIVE (OPEN) ACCOUNTS…the last day in January 
                                                                   Mail to and make checks payable to:
following the end of the year in which withholdings 
                                                                   Colorado Department of Revenue 
were made.
                                                                   Denver CO 80261-0009
•  INACTIVE (CLOSED) ACCOUNTS…within thirty (30) 
days of the business closure.                                      For your records                          Filing period
Should either due date fall on a weekend or holiday, it will be 
extended to the next business day.                                      1. Colorado income tax  
                                                                           withheld per 1099s.
Completing the Transmittal Form                                         2. Colorado income tax withheld 
                                                                           and paid during year.
Line 1  Enter the total amount of state tax withheld from 
        all Colorado payees per 1099s.                                  3. A. Balance Due
Line 2  Enter the total Colorado withholding payments                           or
        remitted during the year. Do not include penalty                   B. Overpayment
        and/or interest already paid previously.                        4. Penalty
Line 3  If amount on lines 1 and 2 are the same, enter                     (see instructions)  
        a zero on line 6.                                               5. Interest
                                                                           (see instructions)  
Line 3A Balance Due — If line 1 is greater than line 2, 
        complete lines 3A, 4, 5, and 6.                                 6. Additional Balance Paid           $

                                                DR 1106 (08/12/20)
                                                COLORADO DEPARTMENT OF REVENUE
                                                Tax.Colorado.gov
*201106==19999*                                 Page 1 of 1

                               Colorado Department of Revenue  
                            Annual Transmittal of State 1099 Forms
Last Name or Business Name                                  First Name                              Middle Initial

Account Number                 Period (MM/YY - MM/YY)                  Due Date (MM/DD/YY)          Number of 1099s Attached
                                                      –
SSN 1                          SSN 2                                   FEIN                         Phone Number

Mark here if this is an Amended Return                                                              1020-130

1. Total Colorado income tax withheld per 1099s.
                                                                                           (890)

2. Total Colorado income tax withheld and paid during year. 
                                                                                           (100)

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

   B.  Overpayment If line 2 is more than line 1, enter the difference (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 1099 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)