Clear Form
FORM
OREGON ESTIMATED INCOME TAX
Department of Revenue Use Only
For Tax Year
40-ESV
PAYMENT VOUCHER
2006
•
150-101-026-2 (Rev. 12-05) Web
3rd Qtr: Due 9/15/06
or Fiscal Year Ending
1st Qtr: Due 4/17/06
4th Qtr: Due 1/16/07
2nd Qtr: Due 6/15/06
Check if fi ling Form MNR
First time fi ler
New name/address
Telephone number
Enter Payment Amount
SSN or BIN
Last name
First name and initial
$
0 0
.
Spouse’s last name if joint payment
Spouse’s first name and initial
Spouse’s SSN
if joint payment
Current mailing address
City
State
ZIP code