Form It-40es - Indiana Individual Estimated Income Tax Voucher - 2000
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1IT-40ES
Indiana Individual Estimated Income Tax Voucher
Do not use the space above.
SF44313
For calendar year 2000 or fiscal year ending ________________________ 20 ______
Revised 8-99
XXXXXXXTaxpayer NameXXXXXXX
XXXXXTaxpayer NameXXXXXXX
Signature
Voucher
Due Date
X
XX XX XXXX
(
)
Date
Daytime Phone #
Your Social Security Number
Spouse's Social Security Number
State and/or County
XXX XX XXXX XX XX
XXX XX XXXX XX XX
Estimated Tax Payment
Due for the Quarter
Enter Total Tax Here
$
99,999,999.99
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7225
Pay this amount. Do not send cash.
INDIANAPOLIS, IN 46207-7225
Make your check payable to the Indiana Department of Revenue.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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