TaxFormFinder
Colorado W-2 Form Substitute
Extracted from PDF file 2023-colorado-form-dr-0084.pdf, last modified August 2013W-2 Form Substitute
*130084==19999* DR 0084 (08/30/13) COLORADO DEPARTMENT OF REVENUE Denver, CO 80261-0005 Substitute Colorado W-2 Form See Form Below Photocopy for your records. DR 0084 (08/30/13) Employer’s name, address and ZIP Code: SUBSTITUTE COLORADO W-2 FORM FOR INCOME TAX WITHHELD Federal Employer’s Identification No. State of Colorado Department of Revenue Denver, CO 80261-0005 Employer’s Colorado Identification No. ● Employee’s Social Security No. DATES OF EMPLOYMENT FROM Employee’s name (first, middle, last): Month (MM) Employee’s address and ZIP Code: COLO. INCOME TAX WITHHELD, if any TO Year (YYYY) Month (MM) Year (YYYY) FEDERAL INCOME TAX WITHTOTAL WAGES (before payroll deductions) HELD, if any ● NOTE: If taxpayer was employed by more than one employer, a separate statement covering each employment and the amount of tax withheld must be filed. How did you determine the amounts listed above? Give reason why Form W-2, or the Statement of Corrected Income and Tax Amounts was not furnished by your employer (or the payer), if known. Explain your efforts to obtain the required information. I declare, under penalty of perjury in the second degree, that the statements made herein are true to the best of my knowledge and belief. Signature: Date: (MM/DD/YY)
Form DR 0084
More about the Colorado Form DR 0084 Individual Income Tax TY 2023
Use this form to give a reason why Form W-2, or the Statement of Corrected Income and Tax Amounts was not furnished by your employer (or the payer), if known. Explain your efforts to obtain the required information.
We last updated the W-2 Form Substitute in February 2024, so this is the latest version of Form DR 0084, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form DR 0084 directly from TaxFormFinder. You can print other Colorado tax forms here.
Other Colorado Individual Income Tax Forms:
TaxFormFinder has an additional 64 Colorado income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| Form 104 | Colorado Income Tax Return |
| Form 104EP | Individual Estimated Income Tax Payment Form |
| Form 104CR | Tax Credits for Individuals |
| Form DR 0900 | Payment Voucher for Individuals |
| Form 104X | Amended Income Tax Return Form |
View all 65 Colorado Income Tax Forms
Form Sources:
Colorado usually releases forms for the current tax year between January and April. We last updated Colorado Form DR 0084 from the Department of Revenue in February 2024.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Colorado Form DR 0084
We have a total of twelve past-year versions of Form DR 0084 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
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