City Of Grayling Estimated Individual Income Tax Voucher Form - 2013

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2013
City of GraylinG EStiMatED
2013
January 31, 2014
inDiViDUal inCoME taX VoUCHEr
foUrtH inStallMEnt
Issued under authority of P.A. 284 of 1964. filing is mandatory.
Names(s)
Your Social Security No.
Spouse’s Social Security No.
Street Address
$ ___________.00
WritE PayMEnt
01
$ ___________.00
aMoUnt
City
State
ZIP Code
$ ___________.00
HErE
Total Payment
Mail to:
City of Grayling
DO NOT WRITE IN THIS SPACE
Make check payable to: “City treasurer”
income tax Division
P.o. Box 549
1020 City Blvd.
Grayling, Mi 49738
Cut at Line
2013
City of GraylinG EStiMatED
2013
September 30, 2013
inDiViDUal inCoME taX VoUCHEr
tHirD inStallMEnt
Issued under authority of P.A. 284 of 1964. filing is mandatory.
Names(s)
Your Social Security No.
Spouse’s Social Security No.
Street Address
$ ___________.00
WritE PayMEnt
01
$ ___________.00
aMoUnt
City
State
ZIP Code
$ ___________.00
HErE
Total Payment
Mail to:
City of Grayling
DO NOT WRITE IN THIS SPACE
Make check payable to: “City treasurer”
income tax Division
P.o. Box 549
1020 City Blvd.
Grayling, Mi 49738
Cut at Line
2013
City of GraylinG EStiMatED
2013
June 30, 2013
inDiViDUal inCoME taX VoUCHEr
SEConD inStallMEnt
Issued under authority of P.A. 284 of 1964. filing is mandatory.
Names(s)
Your Social Security No.
Spouse’s Social Security No.
Street Address
$ ___________.00
WritE PayMEnt
01
$ ___________.00
aMoUnt
City
State
ZIP Code
$ ___________.00
HErE
Total Payment
Mail to:
City of Grayling
DO NOT WRITE IN THIS SPACE
Make check payable to: “City treasurer”
income tax Division
P.o. Box 549
1020 City Blvd.
Grayling, Mi 49738
Cut at Line
2013
City of GraylinG EStiMatED
2013
april 30, 2013
inDiViDUal inCoME taX VoUCHEr
firSt inStallMEnt
Issued under authority of P.A. 284 of 1964. filing is mandatory.
Names(s)
Your Social Security No.
Spouse’s Social Security No.
Street Address
$ ___________.00
WritE PayMEnt
01
$ ___________.00
aMoUnt
City
State
ZIP Code
$ ___________.00
HErE
Total Payment
Mail to:
City of Grayling
DO NOT WRITE IN THIS SPACE
Make check payable to: “City treasurer”
income tax Division
P.o. Box 549
1020 City Blvd.
Grayling, Mi 49738

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