Form N-1 - Declaration Of Estimated Income Tax For Individuals - 2016 Page 3
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Payment Voucher Worksheet
1. Amount of installment for voucher number 1 (from line 14 of the 2016 Estimated Tax Worksheet) ........................................
1
2. Amount of any unused overpayment credit to be applied* .....................................................................................................
2
3. Amount of payment for voucher number 1 (line 1 minus line 2). Enter this amount on payment
voucher number 1 (whole dollars only) ...................................................................................................................................
3
4. Amount of installment for voucher number 2 (from line 14 of the 2016 Estimated Tax Worksheet) ........................................
4
5. Amount of any unused overpayment credit to be applied* .....................................................................................................
5
6. Amount of payment for voucher number 2 (line 4 minus line 5). Enter this amount on payment
6
voucher number 2 (whole dollars only) ...................................................................................................................................
7. Amount of installment for voucher number 3 (from line 14 of the 2016 Estimated Tax Worksheet) ........................................
7
8. Amount of any unused overpayment credit to be applied* .....................................................................................................
8
9. Amount of payment for voucher number 3 (line 7 minus line 8). Enter this amount on payment
voucher number 3 (whole dollars only) ...................................................................................................................................
9
10. Amount of installment for voucher number 4 (from line 14 of the 2016 Estimated Tax Worksheet) ........................................
10
11. Amount of any unused overpayment credit to be applied* .....................................................................................................
11
12. Amount of payment for voucher number 4 (line 10 minus line 11). Enter this amount on payment
voucher number 4 (whole dollars only) ...................................................................................................................................
12
*If you paid too much tax on your 2015 Form N-11/N-15, you may have chosen to apply the overpayment to your estimated tax for 2016. You may apply all or part
of the overpayment to any voucher. Enter on lines 2, 5, 8, and 11 the amount you want to apply to the appropriate voucher.
Amended Computation
Record of Estimated Tax Payments
(Used if your estimated tax substantially changes
Total amount paid and
Voucher
credited from Jan. 1
Date
Amount
2015 overpayment
after you file your first payment voucher.)
through the installment
Number
Paid
credit applied to
date shown.
installment
Add (b) and (c)
1. Amended estimated tax ...........................................
(a)
(b)
(c)
(d)
2. Less:
(a) Amount of last year’s overpayment elected
for credit to 2016 estimated tax and
1
applied to date .............................................
2
(b) Estimated tax payments to date ...................
(c)
Total of lines 2(a) and 2(b) ...........................
3
3. Unpaid balance (line 1 minus line 2(c)) ................
4
4. Amount to be paid (line 3 divided by number
of remaining installments). Enter here and on
lines 4, 7, and 10 (as applicable) of the Payment
Voucher Worksheet (Whole dollars only) .............
Total
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