Dr 6596 Form PDF Details

The DR 6596 form, issued by the Colorado Department of Revenue as of June 20, 2017, serves as a crucial document for taxpayers within the state. It is meticulously designed to gather comprehensive financial details from individuals, aiming to assess their current financial condition and determine the most feasible plan for settling outstanding tax liabilities. This form requires the taxpayer to present a thorough account of income and expenses, spanning various categories. It encompasses information ranging from personal and employment details to an elaborate listing of income types, including but not limited to wages, profits from business ventures, unemployment income, and other monetary benefits. Additionally, it delves into the specifics of financial assets such as accounts in banks or other institutions, securities holdings, and tangible assets including real estate and motor vehicles. The form further extends to capture monthly living expenses, covering an array of necessities and obliges signatories to affirm the accuracy of the provided data under penalty of perjury. The underlying objective is to enable the Department of Revenue to make an informed decision regarding the taxpayer's capacity to fulfill their tax obligations, thus necessitating clear, complete, and honest disclosure on the form.

QuestionAnswer
Form NameDr 6596 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescolorado revenue form dr6596, dr 6596 form, colorado tax form dr 6597, colorado department of revenue tax forms dr6596

Form Preview Example

*136596==19999*

DR 6596 (06/20/17)

COLORADO DEPARTMENT OF REVENUE

Denver, CO 80261-0004

(303) 205-8291

Statement of Income and Expenses

The Department of Revenue uses this form to obtain your current inancial information, and to determine how you are best

suited to pay your outstanding tax liability. Be sure to write clearly and do not leave any area blank.

If additional space is needed, please attach a separate sheet that includes your name, social security number and clearly

classify the additional information according to the areas below.

Account Number, if known

Date (MM/DD/YY)

Taxpayer Information

Taxpayer Name

 

SSN

DOB

 

 

 

 

 

 

 

 

 

 

Spouse Name

 

SSN

DOB

 

 

 

 

 

 

 

 

 

 

Address

 

City

State

ZIP

 

 

 

 

 

 

 

 

Daytime Phone

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age and relationship of people living with you (dependents only):

 

 

 

 

 

Employer Information

Current Employer - Taxpayer

Employer Address

Length of Employment

Current Employer - Spouse

Employer Address

Length of Employment

 

Phone

 

 

 

 

 

 

City

State

ZIP

 

 

 

 

Pay Cycle (monthly, biweekly, weekly)

Net Pay

(after taxes)

 

Phone

 

 

 

 

 

 

 

 

 

City

State

ZIP

 

 

 

 

Pay Cycle (monthly, biweekly, weekly)

Net Pay

(after taxes)

 

 

 

 

Non-Wage Household Income - list monthly amounts for the entire household

Proit from business

$

 

Unemployment Income

 

$

Commissions

$

 

Interest/Dividends

 

$

Pension/Social Security Income

$

 

Net Rental Income

 

$

Alimony/Child Support Income

$

 

Other Income

 

$

TOTAL INCOME - enter the sum of all household income

 

 

 

$

Accounts - include checking, online/mobile (PayPal, etc.), savings, loans, CD, credit union, etc.

 

 

Name of Institution

 

Address

Account Number

Current Balance

$

$

Securities - include stocks, bonds, annuities, mutual funds, IRA, money market funds, whole life insurance policies, etc.

Type

Issuer

Quantity/Denomination

Current Value

$

$

Please complete reverse side of form

*136596==19999*

Taxpayer Name

DR 6596 (06/20/17)

COLORADO DEPARTMENT OF REVENUE

Denver, CO 80261-0004

(303) 205-8291

Account Number, if known

Real Estate - include home, vacation, timeshares, rental properties, etc.

Description/Location/County

Mortgage Company

Current Value

Balance Owed

Primary residence? Y / N

 

 

$

Primary residence? Y / N

 

 

$

Motor Vehicles - include cars, boats, recreation vehicles, etc.

 

 

Year/Make/Model/License Plate

Financing Company

Current Value

Balance Owed

 

 

 

$

 

 

 

$

 

Monthly Necessary Living Expenses

 

Enter the monthly amount of your expenses. For any expenses not paid monthly, convert as follows:

Quarterly bills: divide by 3

Weekly bills: multiply by 4.3

Biweekly bills: multiply by 2.17

Expenses should be reasonable for the size of your household. Substantiation may be required for any expenses over a reasonable amount.

Rent or mortgage payment

$

Telephone, cable, internet, cellphone

$

Child support and/or alimony paid

$

Transportation (gas, parking, bus fare, etc.)

$

Child/Dependent care

$

Out-of-pocket medical

$

Food and housekeeping supplies

$

Health insurance premiums

$

Clothing

$

Life insurance premiums

$

Personal care products and services

$

Automobile insurance

$

Gas/Electric

$

Homeowners or renters insurance

$

Water/Sewer

$

Car loan payment

$

Credit Cards - include lender name and account numbers

$

$

$

$

TOTAL EXPENSES - enter the sum of all household expenses

$

Additional information - describe any expected changes to your income, expenses or employment below.

 

Under penalty of purjury, I declare to the best of my knowledge and belief this statement of assets, liabilities and other information is true, correct and complete.

Spouse signature

Taxpayer signature

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This document will need specific details; in order to ensure accuracy and reliability, be sure to adhere to the suggestions hereunder:

1. To start off, once filling out the colorado tax form dr 6596, start in the part that has the subsequent fields:

Part # 1 in submitting colorado department of revenue forms dr 6596

2. Given that the last section is complete, you're ready to add the required specifics in Employer Address, Length of Employment, City, State, ZIP, Pay Cycle monthly biweekly weekly, NonWage Household Income list, Proit from business, Commissions, PensionSocial Security Income, AlimonyChild Support Income, Unemployment Income, InterestDividends, Net Rental Income, and Other Income allowing you to move on further.

Tips to complete colorado department of revenue forms dr 6596 step 2

3. Completing Taxpayer Name, Account Number if known, Real Estate include home vacation, DescriptionLocationCounty, Mortgage Company, Current Value, Balance Owed, Primary residence Y N, Primary residence Y N Motor, YearMakeModelLicense Plate, Financing Company, Current Value, Balance Owed, Monthly Necessary Living Expenses, and Enter the monthly amount of your is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Simple tips to fill out colorado department of revenue forms dr 6596 step 3

4. You're ready to start working on this next form section! In this case you've got all these Enter the monthly amount of your, Rent or mortgage payment, Child support andor alimony paid, ChildDependent care, Food and housekeeping supplies, Clothing, Personal care products and services, GasElectric, Telephone cable internet cellphone, Transportation gas parking bus, Outofpocket medical, Health insurance premiums, Life insurance premiums, Automobile insurance, and Homeowners or renters insurance empty form fields to fill in.

Step no. 4 of filling out colorado department of revenue forms dr 6596

5. Now, this last section is what you'll want to complete before finalizing the PDF. The blanks here include the following: TOTAL EXPENSES enter the sum of, Under penalty of purjury I declare, and Taxpayer signature.

colorado department of revenue forms dr 6596 writing process clarified (part 5)

As to Taxpayer signature and TOTAL EXPENSES enter the sum of, be sure that you review things here. Both of these could be the key fields in this file.

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