Form Gr-1120es-Eft - Corporation Estimated Income Tax Payment Voucher - 2013

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GR-1120ES-EFT
2013 EST C1Q
GRAND RAPIDS
CORPORATION ESTIMATED INCOME TAX PAYMENT VOUCHER
FIRST QUARTER
Taxpayer Name:
Bank Routing Number:
Social Security No:
Bank Account Number:
Due on or Before:
Type of Bank Account:
04/30/2013 or the last day of the fourth
Checking
Savings
month after the start of the fiscal year.
Payment:
Elective Withdrawal Date:
$
Payment Method:
DO NOT SEND CASH OR ANY OTHER FORM OF PAYMENT WITH PAYMENT VOUCHER BELOW.
The payment voucher is authorization for city to directly withdrawal your payment from your bank account.
Additional Information:
If due date falls on a Saturday, Sunday or legal hoilday, the due date is extended to the next business day.
Address for Payment:
Grand Rapids Income Tax Department
PO Box 108
Grand Rapids MI 49501-0108
Taxpayer Records:
Amount Paid:
Revised: 03/07/2013
KEEP TOP PORTION FOR YOUR RECORDS. SEND BOTTOM PORTION WITH YOUR PAYMENT
v
v
DETACH HERE
Revised: 03/07/2013
GR-1120ES-EFT
2013 EST C1Q
GRAND RAPIDS
FIRST QUARTER CORPORATION ESTIMATED INCOME TAX PAYMENT VOUCHER
PAYMENT VOUCHER 1
Due Date:
NACTP #
EFIN #
Name of Corporation
Corporation's FEIN
Bank routing number
Checking
Type of
account
Savings
Address (Number and street)
Suite. no.
Bank account number
Elective withdrawal date
Address line 2 (P.O. Box address for mailing use only)
Payment voucher 2D barcode
City, town or post office
State
Zip code
Mail to:
Grand Rapids Income Tax Department
PO Box 109
Round to nearest dollar
Amount of estimated tax you are authorizing the Grand
Grand Rapids MI 49501-0109
Rapids to deduct from your bank account
.00

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