IA 1040ES 2004
Iowa Department of Revenue
I
4
FOR CALENDAR YEAR 2004 OR FISCAL YEAR ENDING ___________ , 20 _____
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
JANUARY 31, 2005
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (6/9/03)
Des Moines, IA 50306-0466
Or pay online at
IA 1040ES 2004
Iowa Department of Revenue
I
3
FOR CALENDAR YEAR 2004 OR FISCAL YEAR ENDING ___________ , 20 _____
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
SEPTEMBER 30, 2004
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (6/9/03)
Des Moines, IA 50306-0466
Or pay online at