Form 100-Es - Corporation Estimated Tax - California Page 2

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TAXABLE YEAR
CALIFORNIA FORM
2001
Corporation Estimated Tax
100-ES
For calendar year 2001 or
fiscal year beginning month__________ day________ year 2001, and ending month__________ day__________ year__________
Type of form this entity will file:
Due by the 15th day of 12th month of tax year; for
Installment 4
Saturdays, Sundays or holidays, see instructions.
(1)
Form 100
(2)
Form 100W
(3)
Form 100S
(4)
Form 109
C
California corporation number
Federal employer identification number (FEIN)
Estimated Tax Amount
Corporation name
QSub Tax Amount
Address
PMB no.
City
State
ZIP Code
Total Installment Amount
Return this form with a check or money order payable to:
. . . . .
FRANCHISE TAX BOARD, PO BOX 942857, SACRAMENTO CA 94257-0531
100ES01109
Form 100-ES (REV. 2000)
EFT TAXPAYER: DO NOT USE

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