Deposit Of Quarterly Estimated Tax Form

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lNSTRUCTlONS ON REVERSE
Deposit Of Quarterly Estimated Tax
Quarterly Tax
Earned lncome Tax Office
$
Penalty & lnterest
P.O. Box 3039
Palmer, PA 18043-3039
(61 0) 253-71 91 FAX (61 0) 253-9957
Late Fee
1 Quarter 2009
Due April 30, 2009
$
Total Enclosed
Make checks payable to:
Palmer ElTO
~NsTRUCT~ONS ON REVERSE
Deposit Of Quarterly Estimated Tax
Earned lncome Tax Office
Quarterly Tax
$
Penalty & lnterest
P.O. Box 3039
Palmer, PA 18043-3039
(61 0) 253-71 91 FAX (61 0) 253-9957
Late Fee
2nd Quarter 2009
Due July 31,2009
$
Total Enclosed
Make checks payable to:
Palmer ElTO
Deposit Of Quarterly Estimated Tax
INSTRUCTIONS ON REVERSE
Earned lncome Tax Off ice
Quarterly Tax
$
Penalty & lnterest
P.O.
B ~ X
3039
Palmer, PA 18043-3039
(61 0) 253-71 91 FAX (61 0) 253-9957
$
Late Fee
Quarter 2009
Due October 31,2009
Total Enclosed
$
Make checks payable to:
Palmer ElTO
lNSTRUCTlONS ON REVERSE
Deposit Of Quarterly Estimated Tax
Earned Income Tax Off ice
Quarterly Tax
P.O. Box 3039
Palmer, PA 1 8043-3039
(61 0) 253-71 91 FAX (61 0) 253-9957
$
Penalty & lnterest
$
Late Fee
4th Quarter 2009
Due January 31,201 0
$
Total Enclosed
Make checks payable to:
Palmer ElTO

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