Form Mo-1040es - Estimated Tax Declaration For Individuals - 2007 Page 2
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2007
1. Primary Social
2. Primary
*
*
MISSOURI DEPARTMENT OF REVENUE
Security Number . .
Name Control
FORM
ESTIMATED TAX DECLARATION
MO-1040ES
3. Secondary Social
FOR INDIVIDUALS
*
Security Number . .
YOUR NAME (LAST, FIRST, INITIAL)
4. Amount of this
Installment
$
0 0
SPOUSE’S NAME (LAST, FIRST, INITIAL)
(U.S. funds only) . .
IN CARE OF NAME
3rd QTR
ADDRESS (NUMBER AND STREET)
*
(Calendar year—due
DOR USE ONLY
September 17, 2007)
CITY, STATE, ZIP CODE
*
If you pay by check, you authorize the Department of Revenue to process the check electroni
cally. Any check returned unpaid may be presented again electronically.
RETURN THIS FORM WITH CHECK OR MONEY ORDER PAYABLE TO:
MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 555, JEFFERSON CITY,
MO 65105-0555
MO 860-1858 (11-2006)
2007
1. Primary Social
2. Primary
*
*
MISSOURI DEPARTMENT OF REVENUE
Security Number . .
Name Control
FORM
ESTIMATED TAX DECLARATION
MO-1040ES
3. Secondary Social
FOR INDIVIDUALS
*
Security Number . .
YOUR NAME (LAST, FIRST, INITIAL)
4. Amount of this
Installment
$
0 0
SPOUSE’S NAME (LAST, FIRST, INITIAL)
(U.S. funds only) . .
IN CARE OF NAME
4th QTR
ADDRESS (NUMBER AND STREET)
*
(Calendar year—due
DOR USE ONLY
January 15, 2008)
CITY, STATE, ZIP CODE
*
If you pay by check, you authorize the Department of Revenue to process the check electroni
cally. Any check returned unpaid may be presented again electronically.
RETURN THIS FORM WITH CHECK OR MONEY ORDER PAYABLE TO:
MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 555, JEFFERSON CITY,
MO 65105-0555
MO 860-1858 (11-2006)
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