Form 1040-Es (Nr) - U.s. Estimated Tax For Nonresident Alien Individuals - Department Of The Treasury - 1992 Page 5
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51992
1040-ES (NR)
Form
Payment-
3
Department of the Treasury
Voucher
Internal Revenue Service
OMB No. 1545-0087
Calendar year—Due Sept. 15, 1992
Return this voucher with check or money order payable to the “Internal Revenue
Service.” Please write your social security number and “1992 Form 1040-ES” on your
check or money order. Please do not send cash. Enclose, but do not staple or attach,
your payment with this voucher. File only if you are making a payment of estimated tax.
Your social security number
Your first name and initial
Your last name
Amount of payment
Address (number, street, and apt. no.)
$
City, state, and ZIP code
For Paperwork Reduction Act Notice, see instructions on page 1.
Tear off here
1992
1040-ES (NR)
Form
Payment-
2
Department of the Treasury
Voucher
Internal Revenue Service
OMB No. 1545-0087
Calendar year—Due June 15, 1992
Return this voucher with check or money order payable to the “Internal Revenue
Service.” Please write your social security number and “1992 Form 1040-ES” on your
check or money order. Please do not send cash. Enclose, but do not staple or attach,
your payment with this voucher. File only if you are making a payment of estimated tax.
Your social security number
Your first name and initial
Your last name
Amount of payment
Address (number, street, and apt. no.)
$
City, state, and ZIP code
For Paperwork Reduction Act Notice, see instructions on page 1.
Tear off here
1992
1040-ES (NR)
Form
Payment-
1
Department of the Treasury
Voucher
Internal Revenue Service
OMB No. 1545-0087
Calendar year—Due April 15, 1992
Return this voucher with check or money order payable to the “Internal Revenue
Service.” Please write your social security number and “1992 Form 1040-ES” on your
check or money order. Please do not send cash. Enclose, but do not staple or attach,
your payment with this voucher. File only if you are making a payment of estimated tax.
Your social security number
Your first name and initial
Your last name
Amount of payment
Address (number, street, and apt. no.)
$
City, state, and ZIP code
For Paperwork Reduction Act Notice, see instructions on page 1.
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