Form Ar1000es - Declaration Of Estimated Tax Voucher For Individuals Page 3

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AR1000ES
Calendar Year due January 15
Jan. 15
DECLARATION OF ESTIMATED TAX
4
Voucher for Individuals
Fiscal Year Ending:
_________________________
State of Arkansas Individual Income Tax / P. O. Box 9941/ Little Rock, AR 72203-9941
Month
Day
Year
Your Social Security Number
Spouse’s Social Security Number (If joint return)
Tax Year
19 _______
First Name and Initial (If joint, use first names and middle initials of both)
Last Name
Address (Number and Street, Apartment Number or Rural Route)
AMOUNT
OF THIS
$
INSTALLMENT:
City, State and Zip Code
4
AR1000ES
PAYMENT WITH EXTENSION
5
Voucher for Individuals
Fiscal Year Ending:
_________________________
State of Arkansas Individual Income Tax / P. O. Box 9941/ Little Rock, AR 72203-9941
Month
Day
Year
Your Social Security Number
Spouse’s Social Security Number (If joint return)
Tax Year
19 _______
First Name and Initial (If joint, use first names and middle initials of both)
Last Name
PAYMENT WITH EXTENSION
Address (Number and Street, Apartment Number or Rural Route)
AMOUNT
OF THIS
$
INSTALLMENT:
City, State and Zip Code
5
Estimated Tax Vouchers 1-5 (R 8/98)

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