Form In-114 - Individual Income Estimated Tax Payment Voucher - 2003 Page 2

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*031141199*
2003
VERMONT
Form IN-114
Individual Income Estimated Tax Payment Voucher
* 0 3 1 1 4 1 1 9 9 *
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Amount of this payment $
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Form IN-114
Cut on dotted line above.
Payment Due Dates
Mail voucher with your check or money order to:
1st Quarter
APR 15, 2003
2nd Quarter
JUN 15, 2003
VERMONT DEPARTMENT OF TAXES
3rd Quarter
SEP 15, 2003
PO BOX 1779
4th Quarter
JAN 15, 2004
MONTPELIER, VT 05601-1779
Taxpayer’s Worksheet
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Keep for your records
RECORD of 2003 ESTIMATED PAYMENTS

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