Form Ia 1040es - Nonresident Request For Release From Withholding - 2003

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IA 1040ES 2003
IOWA
department of Revenue and Finance
I
FOR CALENDAR YEAR 2003 OR FISCAL YEAR ENDING ___________ , 20 _____
4
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
JANUARY 31, 2004
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue and Finance
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (09/25/02)
Des Moines, IA 50306-0466
Or pay online at
IA 1040ES 2003
IOWA
department of Revenue and Finance
I
3
FOR CALENDAR YEAR 2003 OR FISCAL YEAR ENDING ___________ , 20 _____
CALENDAR YEAR
INSTALLMENT DUE DATE
Your Social Security Number
SEPTEMBER 30, 2003
Daytime Telephone Number
AMOUNT OF PAYMENT $ _____________________
(
)
-
Mail to:
Estimate Processing
Iowa Department of Revenue and Finance
PO Box 10466
Make check or money order payable to: "Treasurer - State of Iowa"
45-002 (09/25/02)
Des Moines, IA 50306-0466
Or pay online at

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