Form It-41es - Fiduciary Estimated Tax And Extension Payment Voucher

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ESTIMATED FIDUCIARY INCOME TAX PAYMENTS
Indiana does not require trusts and estates to make estimated payments. However, fiduciaries electing to make estimated payments
must file on this form. Use the worksheet below to compute estimated income tax for each quarter.
Extension Payments are due on the fifteenth day of the fourth month following the close of the tax year.
Make your check or money order payable to: INDIANA DEPARTMENT OF REVENUE
Estimated Fiduciary Income Tax Worksheet
A. Total Estimated Fiduciary Income ....................................................................... A.
B. Amount Subject to Indiana Income Tax .............................................................. B.
C. Total Estimated Income Tax (Line B x .034) ....................................................... C.
D. Each Installment (Line C dividedby 4) ................................................................ D.
INDIANA DEPARTMENT OF REVENUE
F
F
FIDUCIARY ESTIMATED TAX AND EXTENSION PAYMENT VOUCHER
I
I
Mail this voucher and payment to:
DO NOT WRITE ABOVE
FORM
Indiana Department of Revenue
IT-41ES
D
Check the boxes to show which
P.O. Box 6079
State Form 50217
D
payment you are making:
(R/10-01)
Indianapolis, IN 46206-6079
U
U
Enter The Amount Of The Estimated Payment Here $
Calendar Year 20___
C
C
Federal identification Number
Fiscal Year Ending ___/___/___
I
1st Quarter Payment
I
Name of Estate or Trust
A
2nd Quarter Payment
A
Name of Fiduciary
R
3rd Quarter Payment
R
Street Address
4th Quarter Payment
Y
Y
City, State and Zip Code
Extension Payment

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