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Get CO DoR DR 1093 2017

Penalty (see instructions) 00 5. Interest (see instructions) 00 6. Additional Balance Paid $ .00 Departmental Use Only *161093 19999* DR 1093 (11/21/17) COLORADO DEPARTMENT OF REVENUE Denver CO 80261-0009 Colorado.gov/Tax 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 Period (MM/YY MM/YY) ZIP Due Date (MM/DD/YY) Number of W-2.

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