Form Ar1055 - Request For Extension Of Time For Filing Income Tax Returns/form Ar1000es - Estimated Tax For Individuals/etc. - 2006 Page 2

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VOUCHER 5
Payment with Extension
DUE APRIL 16, 2007
You must cut along the dotted line or the processing of your payment will be delayed.
2006
Estimated Tax for Individuals
AR1000ES
Calendar Year 2006 or
Voucher
Fiscal Year Ending _______________________
5
Spouse’s Social Security Number (if applicable)
Due Date mm/dd/yyyy
Your Social Security Number
04/16/2007
Name(s)
Click Here to Clear Voucher Info
Amount
Address
$
of this
Installment
City,
Click Here to Print Document
State,
Zip
Please Do Not Use Page Scaling When Printing
160100000000000000000052006041620070

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