NAME OF BUSINESS ____________________________________________________________________
KEEP FOR YOUR RECORDS
Estimated Tax Payments
FEDERAL EMPLOYER IDENTIFICATION NUMBER _________________________________________
1. Total estimated tax for this year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Credit to be carried forward from last year’s return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. TOTAL ESTIMATED TAX DUE. Line 1 minus Line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PAYMENTS. Divide Line 3 by the number of
DATE
CHECK NO.
AMOUNT PAID
installments due this tax year.
$
First installment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Second installment . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Third installment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Fourth installment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
TOTAL AMOUNT PAID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .