Form 40es - Estimated Tax - 2004 Page 2
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1
2A
D
O
R
LABAMA
EPARTMENT
F
EVENUE
2004
ATTENTION FISCAL YEAR FILERS:
CALENDAR YEAR
If you file on a fiscal year basis (not calendar
E
T
P
V
#2
OR
STIMATED
AX
AYMENT
OUCHER
year), beginning and ending dates of your
FISCAL YEAR
fiscal year must be shown in spaces at right
Beginning Date ______________, ______
and block beside fiscal year must be
YOUR SOCIAL SECURITY NUMBER
SPOUSE’S NUMBER IF JOINT
checked. See instructions.
Ending Date _________________, ______
Do not use this form to pay estimated
NAME(S)
tax for corporations, estates or trusts.
ADDRESS
CITY
STATE
ZIP CODE
FOR OFFICIAL USE ONLY
Receiving Date
1
1 Estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 Overpayment from last year credited to estimated tax for this year . . . .
3
3 Amount paid with this voucher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
74850000000000000000000000000000000 000000000
A
D
O
R
LABAMA
EPARTMENT
F
EVENUE
2004
ATTENTION FISCAL YEAR FILERS:
CALENDAR YEAR
If you file on a fiscal year basis (not calendar
E
T
P
V
#3
OR
STIMATED
AX
AYMENT
OUCHER
year), beginning and ending dates of your
FISCAL YEAR
fiscal year must be shown in spaces at right
Beginning Date ______________, ______
and block beside fiscal year must be
YOUR SOCIAL SECURITY NUMBER
SPOUSE’S NUMBER IF JOINT
checked. See instructions.
Ending Date _________________, ______
NAME(S)
Do not use this form to pay estimated
tax for corporations, estates or trusts.
ADDRESS
CITY
STATE
ZIP CODE
FOR OFFICIAL USE ONLY
Receiving Date
1
1 Estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 Overpayment from last year credited to estimated tax for this year . . . .
3
3 Amount paid with this voucher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
74850000000000000000000000000000000 000000000
A
D
O
R
LABAMA
EPARTMENT
F
EVENUE
2004
ATTENTION FISCAL YEAR FILERS:
CALENDAR YEAR
If you file on a fiscal year basis (not calendar
E
T
P
V
#4
OR
STIMATED
AX
AYMENT
OUCHER
year), beginning and ending dates of your
FISCAL YEAR
fiscal year must be shown in spaces at right
Beginning Date ______________, ______
YOUR SOCIAL SECURITY NUMBER
SPOUSE’S NUMBER IF JOINT
and block beside fiscal year must be
checked. See instructions.
Ending Date _________________, ______
Do not use this form to pay estimated
NAME(S)
tax for corporations, estates or trusts.
ADDRESS
FOR OFFICIAL USE ONLY
CITY
STATE
ZIP CODE
Receiving Date
1
1 Estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 Overpayment from last year credited to estimated tax for this year . . . .
3
3 Amount paid with this voucher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
74850000000000000000000000000000000 000000000
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