Form K-130es - Privilege Estimated Tax Voucher - 2004

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2004 KANSAS
FOR OFFICE USE ONLY
K-130ES
PRIVILEGE ESTIMATED
TAX VOUCHER
(Rev. 4/02)
VOUCHER IS DUE BY THE 15TH DAY OF THE 4TH MONTH OF THE TAXABLE YEAR
-
For the taxable year beginning __________________ , 2003; ending _________________ , 20_____
Employer’s
Identification
Number
Business Name
Business Address
Name or
Address
Change
State
City, Town, or Post Office
Zip Code
1
Phone Number
Name of Contact Person
PAYMENT
$
,
,
.
AMOUNT
Please make check or money order payable to: Kansas Privilege Estimated Tax
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM


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