Form 1120b-Es/me - Estimated Tax Payment Voucher Or Financial Institutions - 2004 Page 2
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1
22004
FORM 1120B-ES/ME
MAINE
043431000
ESTIMATED TAX PAYMENT VOUCHER FOR FINANCIAL INSTITUTIONS
VOUCHER
3
- Due
Sep. 15
(15th day of the
ninth
month for fiscal year taxpayers).
Enter the beginning and ending dates for the
If this payment is for a short-year period,
entire tax year (NOT the quarter dates)
enter the next filing period here _____________________
-
-
-
-
-
Financial Institution Name
Amount of Payment
.00
,
,
Address
Federal Identification Number
-
City, Town or Post Office
Date Installment Due
State
ZIP Code
-
-
Detach this voucher and make check payable to TREASURER, STATE OF MAINE. Mail both to:
Maine Revenue Services, P.O. Box 1062, Augusta, ME 04332-1062.
2004
FORM 1120B-ES/ME
043431000
MAINE
ESTIMATED TAX PAYMENT VOUCHER FOR FINANCIAL INSTITUTIONS
VOUCHER
4
- Due
Dec. 15
(15th day of the
twelfth
month for fiscal year taxpayers).
Enter the beginning and ending dates for the
If this payment is for a short-year period,
entire tax year (NOT the quarter dates)
enter the next filing period here _____________________
-
-
-
-
-
Financial Institution Name
Amount of Payment
.00
,
,
Address
Federal Identification Number
-
City, Town or Post Office
State
ZIP Code
Date Installment Due
-
-
Detach this voucher and make check payable to TREASURER, STATE OF MAINE. Mail both to:
Maine Revenue Services, P.O. Box 1062, Augusta, ME 04332-1062.
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