Form 1040-Es (Nr) - Estimated Tax Payment Voucher - 2010 Page 6
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6Form 1040-ES (NR) 2010
Record of Estimated Tax Payments (Farmers, fishermen, and fiscal year taxpayers, see page 2 for payment due dates.)
Keep for Your Records
(c) Check or
Payment
(d) Amount paid
(e) 2009
(f) Total amount
money order number or
(a) Amount
(b) Date
due
(do not include
overpayment
paid and credited
credit or debit card
due
paid
date
any convenience fee)
credit applied
(add (d) and (e))
confirmation number
1
4/15/2010
2
6/15/2010
3
9/15/2010
4
1/18/2011*
Total
*You do not have to make this payment if you file your 2010 tax return by January 31, 2011, and pay the entire balance due with your return.
Privacy Act and Paperwork Reduction
Please keep this notice with your
retained as long as their contents may
Act Notice. We ask for tax return
become material in the administration of
records. It may help you if we ask you for
information to carry out the tax laws of the
any Internal Revenue law. Generally, tax
other information. If you have any
United States. We need it to figure and
questions about the rules for filing and
returns and return information are
collect the right amount of tax.
giving information, please call or visit any
confidential, as stated in Code section
6103.
Internal Revenue Service office.
Our legal right to ask for information is
Internal Revenue Code sections 6001,
The average time and expenses
We may disclose the information to the
6011, and 6012(a) and their regulations.
required to complete and file this form will
Department of Justice and to other federal
They say that you must file a return or
vary depending on individual
agencies, as provided by law. We may
statement with us for any tax for which
circumstances. For the estimated
disclose it to cities, states, the District of
you are liable. Your response is
averages, see the instructions for your
Columbia, and U.S. commonwealths or
mandatory under these sections. Code
income tax return.
possessions to carry out their tax laws.
section 6109 and its regulations say that
We may also disclose this information to
If you have suggestions for making this
you must provide your taxpayer
other countries under a tax treaty, to
package simpler, we would be happy to
identification number on what you file.
federal and state agencies to enforce
hear from you. See the instructions for
This is so we know who you are, and can
federal nontax criminal laws, or to federal
your income tax return.
process your return and other papers.
law enforcement and intelligence agencies
to combat terrorism.
You are not required to provide the
information requested on a form that is
If you do not file a return, do not give
subject to the Paperwork Reduction Act
the information asked for, or give
unless the form displays a valid OMB
fraudulent information, you may be
control number. Books or records relating
charged penalties and be subject to
to a form or its instructions must be
criminal prosecution.
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