Form Cbt-150 - Corporation Business Tax Statement Of Estimated Tax - 2013 Page 4

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Subject to the penalties of perjury, I hereby certify that this return, to the best of my knowledge and belief, is a true and
correct return.
_________________________________________________________________________(__________)__________________
Taxpayer Signature
Title
Date
Telephone
STATEMENT OF ESTIMATED TAX
VOUCHER 1 - CALENDAR YEAR DUE APRIL 15, 2014
VOUCHER 2 - CALENDAR YEAR DUE JUNE 15, 2014
VOUCHER 3 - CALENDAR YEAR DUE SEPTEMBER 15, 2014
VOUCHER 4 - CALENDAR YEAR DUE DECEMBER 15, 2014
FISCAL YEAR TAXPAYER - SEE CALENDAR OF DUE DATES
Subject to the penalties of perjury, I hereby certify that this return, to the best of my knowledge and belief, is a true and
correct return.
_________________________________________________________________________(__________)__________________
Taxpayer Signature
Title
Date
Telephone
STATEMENT OF ESTIMATED TAX
VOUCHER 1 - CALENDAR YEAR DUE APRIL 15, 2014
VOUCHER 2 - CALENDAR YEAR DUE JUNE 15, 2014
VOUCHER 3 - CALENDAR YEAR DUE SEPTEMBER 15, 2014
VOUCHER 4 - CALENDAR YEAR DUE DECEMBER 15, 2014
FISCAL YEAR TAXPAYER - SEE CALENDAR OF DUE DATES

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