Nj-1040es Form - Gross Income Tax Declaration Of Estimated Tax Vouchers 2004
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1
2New Jersey Gross Income Tax
N J
Declaration of Estimated Tax
1040-ES
2004
VOUCHER 2004
1
- OFFICIAL USE ONLY
Your Social Security Number
Spouse’s Social Security Number
Calendar Year - Due
Voucher
1
April 15, 2004
___________/_________/___________
___________/_________/___________
Last Name
First Name (if joint, give first name of both)
Be sure to include your social security number on your check or money order to
ensure proper credit for this payment.
____________________________________________________________________________
If you are married, filing jointly, be sure that the social security number which is
Street Address
first on this payment voucher is the social security number on your check
and is listed first when filing your income tax return.
____________________________________________________________________________
City
State
Zip Code
Indicate the return for which payment is being made by
checking the appropriate box.
R
NJ-1040
N
NJ-1040NR
F
NJ-1041
(06)
NJ-1040EZ (16)
NJ-1080C
(26)
State of NJ-Div. of Taxation
Make Checks Payable To:
AMOUNT OF THIS PAYMENT
Revenue Processing Center
PO Box 222
$
.
Trenton, NJ 08646-0222
New Jersey Gross Income Tax
N J
Declaration of Estimated Tax
1040-ES
2004
VOUCHER 2004
1
- OFFICIAL USE ONLY
Your Social Security Number
Spouse’s Social Security Number
Calendar Year - Due
Voucher
2
June 15, 2004
___________/_________/___________
___________/_________/___________
Last Name
First Name (if joint, give first name of both)
Be sure to include your social security number on your check or money order to
ensure proper credit for this payment.
____________________________________________________________________________
If you are married, filing jointly, be sure that the social security number which is
Street Address
first on this payment voucher is the social security number on your check
and is listed first when filing your income tax return.
____________________________________________________________________________
City
State
Zip Code
Indicate the return for which payment is being made by
checking the appropriate box.
R
NJ-1040
N
NJ-1040NR
F
NJ-1041
(06)
NJ-1040EZ (16)
NJ-1080C
(26)
State of NJ-Div. of Taxation
Make Checks Payable To:
AMOUNT OF THIS PAYMENT
Revenue Processing Center
PO Box 222
$
.
Trenton, NJ 08646-0222
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