California Form 100-Es - Corporation Estimated Tax - 2012 Page 2
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TAXABLE YEAR
CALIFORNIA FORM
2012
100-ES
Corporation Estimated Tax
For calendar year 2012 or fiscal year beginning month_______ day______ year _______, and ending month_______ day_______ year_______ .
Due by the 15th day of 12th month of taxable year; if
This entity will file Form
:
100, 100W, or 100S
109
(fill in only one circle)
Installment 4
due date falls on weekend/holiday, see instructions.
Return this form with a check or money order payable to:
If no payment is due, do not mail this form.
FRANCHISE TAX BOARD, PO BOX 942857, SACRAMENTO CA 94257-0531
California corporation number
FEIN
Contact telephone no.
Estimated Tax Amount
(
)
00
.
,
,
Corporation name
QSub Tax Amount
Attention: Owner’s or Representative’s name
00
.
,
,
Address (suite, room, or PMB no.)
Total Installment Amount
00
.
City
State
ZIP Code
,
,
Form 100-ES 2011
6101123
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