Instructions:
• To help us speed processing, we ask that
you do not use gel pens or red ink. Please
use blue or black ink to fill out your coupons
and checks.
• Print your name, address, Social Security
number(s), and telephone number.
Mail your payment with completed Form 40ES to:
• Check the box if your address has changed
since the last time you filed Form 40ES.
• Fill in the amount of your payment and make
your check or money order out to “Oregon
Oregon Department of Revenue
Department of Revenue.” Be sure to write
PO Box 14950
your Social Security number(s) and “2004
Salem OR 97309-0950
40ES” on your check or money order.
• Please do not staple your check or money
order to this coupon.
• Do not postdate your check.
Instructions:
• To help us speed processing, we ask that
you do not use gel pens or red ink. Please
use blue or black ink to fill out your coupons
and checks.
• Print your name, address, Social Security
number(s), and telephone number.
Mail your payment with completed Form 40ES to:
• Check the box if your address has changed
since the last time you filed Form 40ES.
• Fill in the amount of your payment and make
your check or money order out to “Oregon
Oregon Department of Revenue
Department of Revenue.” Be sure to write
PO Box 14950
your Social Security number(s) and “2004
Salem OR 97309-0950
40ES” on your check or money order.
• Please do not staple your check or money
order to this coupon.
• Do not postdate your check.
Instructions:
• To help us speed processing, we ask that
you do not use gel pens or red ink. Please
use blue or black ink to fill out your coupons
and checks.
• Print your name, address, Social Security
number(s), and telephone number.
Mail your payment with completed Form 40ES to:
• Check the box if your address has changed
since the last time you filed Form 40ES.
• Fill in the amount of your payment and make
your check or money order out to “Oregon
Oregon Department of Revenue
Department of Revenue.” Be sure to write
PO Box 14950
your Social Security number(s) and “2004
Salem OR 97309-0950
40ES” on your check or money order.
• Please do not staple your check or money
order to this coupon.
• Do not postdate your check.
Instructions:
• To help us speed processing, we ask that
you do not use gel pens or red ink. Please
use blue or black ink to fill out your coupons
and checks.
• Print your name, address, Social Security
number(s), and telephone number.
Mail your payment with completed Form 40ES to:
• Check the box if your address has changed
since the last time you filed Form 40ES.
• Fill in the amount of your payment and make
your check or money order out to “Oregon
Oregon Department of Revenue
Department of Revenue.” Be sure to write
PO Box 14950
your Social Security number(s) and “2004
Salem OR 97309-0950
40ES” on your check or money order.
• Please do not staple your check or money
order to this coupon.
• Do not postdate your check.