Form Ia 1040es - Iowa Individual Estimated Tax Change Of Name/address (2002)
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1
2IA 1040ES 2002
IOWA
department of Revenue and Finance
I
2
FOR CALENDAR YEAR 2002 OR FISCAL YEAR ENDING ___________ , 20 _____
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
JULY 1, 2002
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue and Finance
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (10/12/01)
Des Moines, IA 50306-0466
IA 1040ES 2002
IOWA
department of Revenue and Finance
I
1
FOR CALENDAR YEAR 2002 OR FISCAL YEAR ENDING ___________ , 20 _____
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
APRIL 30, 2002
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue and Finance
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (10/17/01)
Des Moines, IA 50306-0466
IOWA INDIVIDUAL ESTIMATED TAX CHANGE OF NAME/ADDRESS FORM
PRIOR NAME/ADDRESS
Change of:
First Name
Last Name
(Check each that applies)
o Name
Prior Mailing Address (number and street including apartment number or rural route)
o Address
City, Town, or Post Office; State; Zip Code
o Social Security Number
Your Social Security Number
____________________
Signature
REVISED NAME/ADDRESS
First Name
Last Name
____________________
Current Mailing Address (number and street including apartment number or rural route)
Date
City, Town, or Post Office; State; Zip Code
(
) ______________
Social Security Number
Telephone Number
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