Form 40es - Estimated Income Tax Payment Voucher - 2009

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DUALTT-
The voucher below needs to be filled out to remit your
estimated income tax payment. For each quarterly
payment made, a separate voucher will need to be
prepared. If you are making 4 payments, then you will
fill out this voucher four times with the information for
each payment. Please see the instructions on page 4
for more information.
DETACH ALONG THIS LINE AND MAIL VOUCHER WITH YOUR FULL PAYMENT
Reset
Print
FORM
A
D
R
LABAMA
EPARTMENT OF
EVENUE
40ES
2009
Estimated Income Tax Payment Voucher
PRIMARY TAXPAYER’S FIRST NAME
SPOUSE’S FIRST NAME
LAST NAME
•
MAILING ADDRESS
CITY
STATE
ZIP
DAYTIME TELEPHONE NUMBER
(
)
CHECK IF FISCAL YEAR
-This form has been enhanced to print a two dimensional
(2D) barcode. The PRINT FORM button MUST be used to
Beginning Date _____________________, _________
generate the (2D) barcode which contains data entered on
•
Ending Date _____________________, _________
the form. The use of a 2D barcode vastly improves
•
-
-
processing of your return and reduces the costs
Primary Taxpayer SSN:
associated with processing your return.
•
-
-
Spouse SSN:
- Just key in your data prior to printing the form. PLEASE
•
Amount Paid With Voucher: $
____________________
DO NOT HANDWRITE ANY DATA ON THE FORM.
MAIL TO: Alabama Department of Revenue, Individual Estimates,
P.O. Box 327485, Montgomery, AL 36132-7485
Œ
ADOR

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