Form Ft-Qp - Indiana Financial Institution Tax Return - Estimated Quarterly Payment
ADVERTISEMENT
1
2Indiana Department of Revenue
Form FT-QP
Do not use the space above.
SF 48969
Indiana Financial Institution Tax Return - Estimated Quarterly Payment
Revised 8-99
Due last day of month following end of quarter.
XXXXXBusiness NameXXXXX
XXXXXDBA NameXXXXXXXX
Federal Identification Number
Signature of Officer
Title
XXXXXXXXX XX XX
Voucher Number
Due Date
Calendar or FiscalYear Ending
(
)
Date
Daytime Phone #
XX XX XXXX
X
XXX XXXX
Financial Institution Tax Due for the Quarter
.
.
Enter Total Tax Below:
.
,
,
$
INDIANA DEPARTMENT OF REVENUE
Q
P.O. BOX 7228
Pay this amount. Do not send cash.
INDIANAPOLIS, IN 46207-7228
Make check payable to the Indiana Department of Revenue.
If you have address changes or name corrections,
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
use the Change Form found in this packet.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial