Declaration Of Estimated Income Tax Form Page 2
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2CITY OF FLINT INCOME TAX DEPARTMENT
YEAR
DECLARATION OF ESTIMATED INCOME TAX/QUARTERLY
DUE DATE
VOUCHER
STATEMENT OF ACCOUNT FOR CALENDAR YEAR OR FISCAL
YEAR ENDING______________________, 20____
NO. 3
SOCIAL SECURITY NUMBER OR FEDERAL I.D. NUMBER
SPOUSE SOCIAL SECURITY NUMBER
TAXPAYER'S NAME AND ADDRESS
ESTIMATED TAX
PAYMENT AMOUNT
00
.00
$___________.
$___________
MAKE CHECKS PAYABLE AND MAIL TO: TREASURER, CITY OF FLINT 16127 COLLECTION CENTER DR, CHICAGO, IL 60693
CUT ALONG LINE
CITY OF FLINT INCOME TAX DEPARTMENT
YEAR
DECLARATION OF ESTIMATED INCOME TAX/QUARTERLY
DUE DATE
VOUCHER
STATEMENT OF ACCOUNT FOR CALENDAR YEAR OR FISCAL
YEAR ENDING______________________, 20____
NO. 2
SOCIAL SECURITY NUMBER OR FEDERAL I.D. NUMBER
SPOUSE SOCIAL SECURITY NUMBER
TAXPAYER'S NAME AND ADDRESS
ESTIMATED TAX
PAYMENT AMOUNT
00
.00
$___________.
$___________
MAKE CHECKS PAYABLE AND MAIL TO: TREASURER, CITY OF FLINT 16127 COLLECTION CENTER DR, CHICAGO, IL 60693
CUT ALONG LINE
CITY OF FLINT INCOME TAX DEPARTMENT
YEAR
DECLARATION OF ESTIMATED INCOME TAX/QUARTERLY
DUE DATE
VOUCHER
STATEMENT OF ACCOUNT FOR CALENDAR YEAR OR FISCAL
YEAR ENDING______________________, 20____
NO. 1
SOCIAL SECURITY NUMBER OR FEDERAL I.D. NUMBER
SPOUSE SOCIAL SECURITY NUMBER
TAXPAYER'S NAME AND ADDRESS
ESTIMATED TAX
PAYMENT AMOUNT
00
.00
$___________.
$___________
MAKE CHECKS PAYABLE AND MAIL TO: TREASURER, CITY OF FLINT 16127 COLLECTION CENTER DR, CHICAGO, IL 60693
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