File by Mail Instructions for your 2016 Federal Tax Return

Important: Your taxes are not finished until all required steps are completed.

(If you prefer, you can still e-file. Go to the end of these instructions for
more information.)
Ryan Peng
2125 Alpine Drive
Erie, CO 80516
|
Balance | Your federal tax return (Form 1040EZ) shows you are due a refund of
Due/ | $135.00.
Refund |
|
______________________________________________________________________________________
|
What You | Your tax return - The official return for mailing is included in
Need to | this printout. Remember to sign and date the return.
Mail |
| Attach the first copy or Copy B of Form(s) W-2 to the front of your
| Form 1040EZ.
|
| Mail your return and attachments to:
| Department of the Treasury
| Internal Revenue Service
| Fresno, CA 93888-0014
|
| Deadline: Postmarked by Tuesday, April 18, 2017
|
| Note: Your state return may be due on a different date. Please
| review your state filing instructions.
|
| Don't forget correct postage on the envelope.
|
______________________________________________________________________________________
|
What You | Keep these instructions and a copy of your return for your records.
Need to | If you did not print one before closing TurboTax, go back to the
Keep | program and select File tab, then select the Print for Your Records
| category.
|
______________________________________________________________________________________
|
2016 | Adjusted Gross Income $ 1,934.00
Federal | Taxable Income $ 0.00
Tax | Total Tax $ 0.00
Return | Total Payments/Credits $ 135.00
Summary | Amount to be Refunded $ 135.00
| Effective Tax Rate 0.00%
|
______________________________________________________________________________________
|
Changed | You can still file electronically. Just go back to TurboTax, select
Your Mind | the File tab, then select the E-file category. We'll walk you
About | through the process. Once you file, we will let you know if your
e-filing? | return is accepted (or rejected) by the Internal Revenue Service.
|
______________________________________________________________________________________

Page 1 of 1
 Department of the Treasury—Internal Revenue Service
Form Income Tax Return for Single and
1040EZ Joint Filers With No Dependents (99) 2016 OMB No. 1545-0074
Your first name and initial Last name Your social security number
Ryan Peng 652 10 4244
If a joint return, spouse’s first name and initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s)
c
2125 Alpine Drive above are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign
Erie CO 80516 Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
Foreign country name Foreign province/state/county Foreign postal code a box below will not change your tax or
refund. You Spouse

Income 1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2.
Attach your Form(s) W-2. 1 1,934.
Attach
Form(s) W-2
here. 2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2
Enclose, but do
not attach, any 3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions). 3
payment.
4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 1,934.
5 If someone can claim you (or your spouse if a joint return) as a dependent, check
the applicable box(es) below and enter the amount from the worksheet on back.
You Spouse
If no one can claim you (or your spouse if a joint return), enter $10,350 if single;
$20,700 if married filing jointly. See back for explanation. 5 2,284.
6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-.
This is your taxable income. a 6 0.
7 Federal income tax withheld from Form(s) W-2 and 1099. 7 135.
Payments, 8a Earned income credit (EIC) (see instructions) 8a
Credits, b Nontaxable combat pay election. 8b
and Tax 9 Add lines 7 and 8a. These are your total payments and credits. a 9 135.
10 Tax. Use the amount on line 6 above to find your tax in the tax table in the
instructions. Then, enter the tax from the table on this line. 10 0.
11 Health care: individual responsibility (see instructions) Full-year coverage 11
12 Add lines 10 and 11. This is your total tax. 12 0.
Refund 13a If line 9 is larger than line 12, subtract line 12 from line 9. This is your refund.
If Form 8888 is attached, check here a 13a 135.
Have it directly
deposited! See
instructions and a b Routing number X X X X X X X X X ac Type: Checking Savings
fill in 13b, 13c,
and 13d, or
Form 8888. a d Account number X X X X X X X X X X X X X X X X X
Amount 14 If line 12 is larger than line 9, subtract line 9 from line 12. This is
You Owe the amount you owe. For details on how to pay, see instructions. a 14
Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No
Third Party
Designee Designee’s Phone Personal identification
name a no. a number (PIN) a

Sign Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and
accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based
Here on all information of which the preparer has any knowledge.
Your signature Date Your occupation Daytime phone number
F

Joint return? See

instructions. student (720)835-9109
Keep a copy for Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent you an Identity Protection
your records. PIN, enter it
here (see inst.)
Print/Type preparer’s name Preparer’s signature Date PTIN
Paid Check if
self-employed
Preparer
Firm’s name a Self-Prepared Firm’s EIN a
Use Only
Firm’s address a Phone no.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. BAA REV 01/25/17 TTW
Form 1040EZ (2016)
File by Mail Instructions for your 2016 Colorado Tax Return
Important: Your taxes are not finished until all required steps are completed.

(If you prefer, you can still e-file. Go to the end of these instructions for
more information.)
Ryan Peng
2125 Alpine Drive
Erie, CO 80516
|
Balance | Your Colorado state tax return (Form 104) shows you are due a refund
Due/ | of $62.00.
Refund |
|
______________________________________________________________________________________
|
What You | Your tax return - The official return for mailing is included in
Need to | this printout. Remember to sign and date the return.
Mail |
| Attach W-2s, W2-Gs or 1099s only if you report Colorado income tax
| withheld.
|
| Mail your return and attachments to:
| (Filing with payment) Colorado Department of Revenue, Denver, CO 80261-0006
| (Filing without payment) Colorado Department of Revenue, Denver, CO 80261-0005
|
| Deadline: Postmarked by April 18, 2017
|
| Don't forget correct postage on the envelope.
|
______________________________________________________________________________________
|
What You | Keep these instructions and a copy of your return for your records.
Need to | If you did not print one before closing TurboTax, go back to the
Keep | program and select File tab, then select the Print for Your Records
| category.
|
______________________________________________________________________________________
|
2016 | Taxable Income $ -350.00
Colorado | Total Tax $ 0.00
Tax | Total Payments/Credits $ 62.00
Return | Amount to be Refunded $ 62.00
Summary |
|
______________________________________________________________________________________
|
Changed | You can still file electronically. Just go back to TurboTax, select
Your Mind | the File tab, then select the E-file category. We'll walk you
About | through the process. Once you file, we will let you know if your
e-filing? | return is accepted (or rejected) by the state taxing agency.
|
______________________________________________________________________________________

Page 1 of 1
 Departmental Use Only

160104 11555
FORM 104 (08/26/16)
COLORADO DEPARTMENT OF REVENUE
www.TaxColorado.com
2016
(0013)
Colorado Individual Income
Tax Form 104
X Full-Year Part-Year or Nonresident (or resident, Mark if Abroad on due date – see instructions
part-year, non-resident combination)

Your Last Name Your First Name Middle Initial

PENG RYAN
Date of Birth (MM/DD/YYYY) SSN

06/30/1999 652-10-4244
Deceased State of Issue Last 4 characters of ID number Date of Issuance
Enter the following information from your current
driver license or state identification card.
If Joint, Spouse’s Last Name Spouse’s First Name Middle Initial

Date of Birth (MM/DD/YYYY) Spouse’s SSN

Deceased Enter the following information from your State of Issue Last 4 characters of ID number Date of Issuance
spouse’s current driver license or state
identification card.
Mailing Address Phone Number

2125 ALPINE DRIVE (720)835-9109

City State Zip Code Foreign Country (if applicable)

ERIE CO 80516
Round To The Next Dollar
1. Enter Federal Taxable Income from your federal income tax form: 1040EZ
line 6, 1040A line 27, 1040 line 43 1 -350 0 0
Staple W-2s and 1099s with CO withholding here.

Additions to Federal Taxable Income

2. State Addback, enter the state income tax deduction from your federal form
1040 schedule A, line 5 (see instructions) 2 00

3. Other Additions, explain (see instructions) 3 00

Explain:

4. Subtotal, add lines 1 through 3

4 -350 0 0

5. Subtractions from DR 0104AD Schedule, line 16 5 00

6. Colorado Taxable Income, line 4 minus line 5 6 -350 0 0

REV 01/25/17 TTW

 FORM 104 (08/26/16)
COLORADO DEPARTMENT OF REVENUE
www.TaxColorado.com
160104 21555
Name SSN

RYAN PENG 652-10-4244

Tax, Prepayments and Credits: full-year residents go to Form 104CR and part-year and nonresidents go to Form 104PN

7. Colorado Tax from tax table or Form 104PN line 36 7 0 00

8. Alternative Minimum Tax from Form 104AMT 8 00

9. Recapture of prior year credits 9 00

10. Subtotal, add lines 7 through 9 10 0 00

11. Nonrefundable Credits from Form 104CR line 39, cannot exceed the sum of
lines 7 and 8 11 00
12. Total Nonrefundable Enterprise Zone credits used – as calculated,
or from DR 1366 line 87 12 00

13. Net Income Tax, add lines 11 and 12. Then subtract that sum from line 10. 13 0 00

14. Use Tax reported on DR 0104US schedule line 7 14 0 00

15. Net Colorado Tax, add lines 13 and 14 15 0 00

16. CO Income Tax Withheld from W-2s and 1099s 16 62 0 0

17. Prior-year Estimated Tax Carryforward 17 00

18. Estimated Tax Payments, enter the sum of the quarterly payments
remitted for this tax year 18 00

19. Extension Payment remitted with form 158-I 19 00

20. Other Prepayments: 104BEP DR 0108 DR 1079 20

00

21. Gross Conservation Easement Credit from DR 1305G line 33 21 00

22. Innovative Motor Vehicle Credit from form DR 0617 22 0 00

23. Refundable Credits from Form 104CR line 8 23 00

24. Subtotal, add lines 16 through 23 24 62 0 0

25. Federal Adjusted Gross Income from your federal income tax form:
1040EZ line 4; 1040A line 21; 1040 line 37 25 1934 0 0

26. Overpayment, if line 24 is greater than 15 then subtract line 15 from line 24 26 62 0 0

27. Estimated Tax Credit Carry Forward to 2017 first quarter, if any 27 00

28. Voluntary Contributions elected on DR 0104CH schedule line 21 28 00

29. Subtotal, add lines 27 and 28 29 00

30. Refund, subtract line 29 from line 26 (see instructions) 30 62 0 0

REV 01/25/17 TTW

 FORM 104 (08/26/16)
COLORADO DEPARTMENT OF REVENUE
www.TaxColorado.com
160104 31555
Name SSN

RYAN PENG 652-10-4244

Direct Routing Number Type: Checking Savings CollegeInvest 529

Deposit Account Number

For questions regarding CollegeInvest direct deposit or to open an account call 800-448-2424 or visit CollegeInvest.org

31. Net Tax Due, subtract line 24 from line 15, then add line 28 31 00

32. Delinquent Payment Penalty (see instructions) 32 00

33. Delinquent Payment Interest (see instructions) 33 00

34. Estimated Tax Penalty (see instructions) 34 00

35. Amount You Owe, add lines 31 through 34 35 00

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.

Third Party Designee

Do you want to allow another person to discuss this
return and any other information related to this return No Yes. Complete the following:
with the Colorado Department of Revenue?
Designee’s Name Phone Number

Sign Below Under penalties of perjury, I declare that to the best of my knowledge and belief, this return is true, correct and complete.
Your Signature Date (MM/DD/YY)

Spouse Signature. If joint return, BOTH must sign. Date (MM/DD/YY)

Paid Preparer’s Name Paid Preparer’s Phone

SELF PREPARED
Paid Preparer’s Address City State Zip

REV 01/25/17 TTW

New For This Year:

If you are filing this return with a check or If you are filing this return without a check or
payment, please mail the return to: payment, please mail the return to:
COLORADO DEPARTMENT OF REVENUE COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0006 Denver, CO 80261-0005