Form K-40es - Individual Estimated Income Tax Voucher 2001 - State Of Kansas Page 4
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42001 KANSAS
K-40ES
For Office Use Only
INDIVIDUAL ESTIMATED INCOME
TAX VOUCHER
(Rev.6/00)
Your last name
Spouse’s last name
DUE BY: JANUARY 15, 2002
Taxpayer’s First Name
Initial
Last Name
-
-
Your Social
Security number
Spouse’s First Name
Initial
Last Name
-
-
Spouse’s Social
Security number
Mailing Address (Number and Street, including Rural Route)
Name or
address
4
change
City, Town, or Post Office
State
Zip Code
- If married filing a joint return, include both names and Social Security numbers.
- Make check or money order payable to: Kansas Individual Estimated Income Tax
,
.
.
,
AMOUNT OF
$
PAYMENT
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