Form L-1040es - Estimated Tax Declaration-Voucher - City Of Lapeer Page 2
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2L-1040ES
ESTIMATED TAX DECLARATION-VOUCHER 4
PAYABLE TO: CITY OF LAPEER
DUE
MAIL TO:
576 Liberty Park
FOR THE YEAR __________
Jan 31
Lapeer, MI 48446
OR FOR THE FISCAL YEAR FROM __________ TO __________
ACCOUNT NUMBER (SSN OR FEIN)
SPOUSES SSN
TOTAL ESTIMATED INCOME TAX
NAME
FOR CURRENT TAX YEAR
ADDRESS
4TH QTR ESTIMATED INCOME
CITY, STATE, ZIP
TAX PAYMENT
SIGNATURE OF TAXPAYER ( and spouse if joint declaration)
ESTIMATED TAX WORKSHEET (Keep for your records - Do Not File)
1. Taxable Income Expected in _____________(tax year) . . . . . . . . . . . .
$_________________
2. Exemptions ($600 times number of exemptions). . . . . . . . . . . . . . . . . . . . . $_________________
3. Estimated Lapeer Taxable Income (Line 1 less line 2). . . . . . . . . . . . . .
$_________________
4. Estimated Lapeer Income Tax
$_________________
Non resident enter 1/2% of line 3, all other taxpayers enter 1% of line 3. . . . .
5. Amount of Lapeer Income Tax Withheld . . . . . . . . .
$______________
Overpayment from Previous Year Not Refunded . . . . $______________
Other Credits-Explain Here . . . . . . . . . . . . . . . . . .
$______________
Total line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$_________________
6. Estimated Tax: (Line 4 less line 5) . . . . . . . . . . . . . . . . . . . . . . . . . .
$_________________
7. Amount to be paid (Enter here and on Declaration- Voucher #1) . . . . .
$_________________
IF LINE 6 IS $100 OR LESS FOR INDIVIDUALS OR UNINCORPORATED BUSINESSES OR $250 OR
LESS FOR CORPORATIONS THIS PAYMENT IS NOT REQUIRED.
RECORD OF ESTIMATED TAX PAYMENTS
VOUCHER NO
DATE PAID
AMOUNT PAID THIS QUARTER
TOTAL PAID TO DATE
1
$
$
2
$
$
3
$
$
4
$
$
$
$
TOTAL
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