Form D-40c - Change Of Name Or Address - Office Of Tax And Revenue - District Of Columbia Page 3
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1
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32008
D-40ES Estimated Payment for
Government of the
District of Columbia
Individual Income Tax
*080400310000*
.
Quarterly payment
$
00
(dollars only)
OFFICIAL USE ONLY
Your social security number
Spouse’s/partner’s social security number
Your fi rst name, middle initial, last name. (Leave a space between names and initial.)
Your spouse’s/registered domestic partner’s fi rst name, middle initial, last name. (Leave a space between names and initial.)
Address (number, street and apartment number if applicable)
City
State
Zip Code + 4
Make check or money order payable to the DC Treasurer.
Voucher number:
Due date:
2008 D-40ES P1
Estimated Payment for Individual Income Tax
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