Form M-14 - Estimated Tax Payment Record - Minnesota Department Of Revenue 1999 Page 3

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1999
MINNESOTA Department of Revenue
Estimated Tax Payment Record
This payment record is for your convenience
• Please update this payment record as you make your payments
• Keep this payment record with your 1999 tax records
A
B
C
Your check
Date of
Amount of
number
payment
of payment
1 1998 refund amount applied to your 1999
estimated tax (from line 20 of your 1998 Form M-1) . . . . . . . . . . . 1
2 First quarter payment due April 15, 1999 . . . . . . . . . . . . . . . . . . . 2
3 Second quarter payment due June 15, 1999 . . . . . . . . . . . . . . . . . 3
4 Third quarter payment due September 15, 1999 . . . . . . . . . . . . . . 4
5 Fourth quarter payment due January 18, 2000 . . . . . . . . . . . . . . . 5
6 Total estimated tax payments for 1999 (add lines 1-5, column C) . . 6
7 If you are filing your 1999 Form M-1 after April 17, 2000, and you
made a payment on Form M-13 for 1999, fill in that amount here . . 7
8 Total: Add lines 6 and 7, column C. Fill in the amount
on line 11 of your 1999 Form M-1 . . . . . . . . . . . . . . . . . . . . . . . . 8
Do not include any of the following payments:
• Payments made to the Internal Revenue Service (IRS)
• Payments for a balance due on previous years’ Minnesota income tax returns
• Payments made on an audit report or amended return
• Payments made for penalties or interest
Keep this worksheet for your records.
Do not attach it to your return. This payment record should be
used in preparing your 1999 Form M-1. If your tax preparer will be completing your 1999 income tax return,
be sure to provide him or her with a copy of this payment record.
Printed on recycled paper with 10% post-consumer waste using soy-based ink

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