Form Dr 0104Ad PDF Details

If you have ever been injured and had to file a workers' compensation claim, you know that the process can be complicated and frustrating. There are paperwork requirements, deadlines, and steps that you must take in order to ensure that your case is handled properly. One of the most important things to do is to make sure that you submit the right forms at the right time. One form that is commonly required is Form Dr 0104Ad. This form must be filed within 14 days of your injury, so it is important to know what it is and what it entails. In this blog post, we will discuss what Form Dr 0104Ad is and how to complete it correctly. We will also provide some tips for making the workers' compensation process as smooth as possible.

QuestionAnswer
Form NameForm Dr 0104Ad
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescolorado form 104ad, 0104ad colorado 2017 form fillable, get the form dr0104ad, dr 0104ad instructions 2019

Form Preview Example

Departmental Use Only

*160104AD19999*

DR 0104AD (09/19/16)

COLORADO DEPARTMENT OF REVENUE

Subtractions from Income Schedule

Use this schedule to report any subtractions from your Federal Taxable Income. These subtractions will change your Colorado Taxable Income from the amount of Federal Taxable Income. See instructions in the income tax booklet for additional guidance on completing this schedule. Do not enter negative amounts.

Name

SSN

SUBTRACTIONS FROM FEDERAL TAXABLE INCOME

1.State Income Tax Refund from federal income tax form 1040 line 10;

enter $0 if iling 1040A or 1040EZ

1

2. U.S. Government Interest

2

3.Primary Taxpayer Pension/Annuity Income

Deceased SSN:

3

4.Spouse Pension/Annuity Income

Deceased SSN:

4

5. Colorado Source Capital Gain; 5-year assets acquired on or after 5/9/1994

5

6.Tuition Program Contribution:

 

(see instructions)

Owner’s SSN:

 

6

Total Contribution

 

 

 

Owner’s Name

 

 

 

 

 

 

Total Contribution

 

 

 

 

 

 

 

 

 

7.

Qualifying Charitable Contribution

$

 

 

7

8.

Qualiied Reservation Income

 

8

9.PERA/DPSRS Subtraction, for PERA contributions made in 1984–1986 or

 

DPSRS contributions made in 1986

9

10.

Railroad Beneit Subtraction, tier I or II only

10

11.

Wildire Mitigation Measures Subtraction

11

12.

Colorado Marijuana Business Deduction

12

13.

Non-Resident Disaster Relief Worker Subtraction

13

14.

Active Duty Military Colorado HOME Subtraction (see instructions)

14

15.

Other Subtractions, explain below (see instructions)

15

Explain

 

 

16.Subtotal, add lines 1 through 15, transfer the amount to line 5

on the DR 0104

16

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

 

 

0 0

How to Edit Form Dr 0104Ad Online for Free

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Step 2: The editor grants the capability to modify PDF files in a range of ways. Improve it with any text, correct original content, and put in a signature - all when it's needed!

This document will require particular info to be entered, thus be sure you take whatever time to type in what is required:

1. It's vital to fill out the 0104ad colorado 2017 form fillable properly, thus be attentive while working with the sections comprising these fields:

Ways to complete colorado form 104ad instructions part 1

2. Once this part is finished, you're ready include the essential specifics in Wildire Mitigation Measures, Colorado Marijuana Business, NonResident Disaster Relief, Active Duty Military Colorado, Other Subtractions explain below, Subtotal add lines through, and on the DR so that you can move on to the 3rd part.

Stage no. 2 for filling in colorado form 104ad instructions

Be really careful when filling in Other Subtractions explain below and Subtotal add lines through, because this is the section where many people make errors.

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