Form 1041-Es - Estimated Income Tax For Estates And Trusts - 2017 Page 7
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73
2017
1041-ES
Payment
Department of the Treasury
Voucher
OMB No. 1545-0971
Internal Revenue Service
Calendar year—Due Sept. 15, 2017
File only if the estate or trust is making a payment of estimated tax. Return this voucher
Amount of estimated tax you are paying
with check or money order payable to “United States Treasury.” Write the estate’s or
by check or
trust’s EIN and “2017 Form 1041-ES” on the check or money order. Do not send cash.
Dollars
Cents
money
Enclose, but don't staple or attach, the payment with this voucher.
order.
Employer identification number
Name of estate or trust
Fiscal year filers—enter year ending
Name and title of fiduciary
Address of fiduciary (number, street, and room or suite no.)
(month and year)
City, state, and ZIP code
Tear off here
2
2017
1041-ES
Payment
Department of the Treasury
Voucher
OMB No. 1545-0971
Internal Revenue Service
Calendar year—Due June 15, 2017
File only if the estate or trust is making a payment of estimated tax. Return this voucher
Amount of estimated tax you are paying
with check or money order payable to “United States Treasury.” Write the estate’s or
by check or
trust’s EIN and “2017 Form 1041-ES” on the check or money order. Do not send cash.
Dollars
Cents
money
Enclose, but don't staple or attach, the payment with this voucher.
order.
Employer identification number
Name of estate or trust
Fiscal year filers—enter year ending
Name and title of fiduciary
Address of fiduciary (number, street, and room or suite no.)
(month and year)
City, state, and ZIP code
Tear off here
1
2017
1041-ES
Payment
Department of the Treasury
Voucher
OMB No. 1545-0971
Internal Revenue Service
Calendar year—Due April 18, 2017
File only if the estate or trust is making a payment of estimated tax. Return this voucher
Amount of estimated tax you are paying
with check or money order payable to “United States Treasury.” Write the estate’s or
by check or
trust’s EIN and “2017 Form 1041-ES” on the check or money order. Do not send cash.
Dollars
Cents
money
Enclose, but don't staple or attach, the payment with this voucher.
order.
Employer identification number
Name of estate or trust
Fiscal year filers—enter year ending
Name and title of fiduciary
Address of fiduciary (number, street, and room or suite no.)
(month and year)
City, state, and ZIP code
-7-
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