Form 1-Es - Estimated Tax Payment Voucher - Massachusetts Department Of Revenue

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Massachusetts Department of Revenue
1-ES — Estimated Tax Payment Voucher
Social Security number
Tax filing period
Due date
Tax type
Voucher type
ID type
Vendor code
053
17
005
0001
1. Amount of this installment (from line 12 of estimated tax worksheet):
Last name (print)
First name and initial (and spouse’s, if joint return)
$
Street address
Check which form you plan to file:
Form 1 Full-Year Resident
Form 1-NR/PY Nonresident/Part-Year Resident
City/Town
State
Zip
Nonresident Composite Return
Important Information
Phone number
E-mail address
File your Form 1-ES online at no cost! It’s fast, easy
and se cure. Go to mass.gov/masstaxconnect for more
information.
Return this voucher with check or money order payable to: Commonwealth of Massachusetts.
Mail to: Massachusetts Department of Revenue, PO Box 419540, Boston, MA 02241-9540.
Signature
Title
Date

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