3
1040-ES (NR)
2013
Estimated Tax
Department of the Treasury
Payment Voucher
OMB No. 1545-0074
Internal Revenue Service
Calendar year—Due Sept. 16, 2013
File only if you are making a payment of estimated tax by check or money order. Return this
Amount of estimated tax you are
voucher with your check or money order payable to “United States Treasury.” Write your
paying by
identifying number and “2013 Form 1040-ES (NR)” on your check or money order. Do not send
Dollars
Cents
check or
cash. Enclose, but do not staple or attach, your payment with this voucher.
money order.
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
Your first name and initial
Your last name
Address (number, street, and apt. no.)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Tear off here
2
1040-ES (NR)
2013
Estimated Tax
Department of the Treasury
Payment Voucher
OMB No. 1545-0074
Internal Revenue Service
Calendar year—Due June 17, 2013
File only if you are making a payment of estimated tax by check or money order. Return this
Amount of estimated tax you are
voucher with your check or money order payable to “United States Treasury.” Write your
paying by
identifying number and “2013 Form 1040-ES (NR)” on your check or money order. Do not send
Dollars
Cents
check or
cash. Enclose, but do not staple or attach, your payment with this voucher.
money order.
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
Your first name and initial
Your last name
Address (number, street, and apt. no.)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Tear off here
1
1040-ES (NR)
2013
Estimated Tax
Department of the Treasury
Payment Voucher
OMB No. 1545-0074
Internal Revenue Service
Calendar year—Due April 15, 2013
File only if you are making a payment of estimated tax by check or money order. Return this
Amount of estimated tax you are
voucher with your check or money order payable to “United States Treasury.” Write your
paying by
identifying number and “2013 Form 1040-ES (NR)” on your check or money order. Do not send
Dollars
Cents
check or
cash. Enclose, but do not staple or attach, your payment with this voucher.
money order.
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
Your first name and initial
Your last name
Address (number, street, and apt. no.)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
-11-