Form K-40es - Kansas Individual Estimated Income Tax Voucher - 2016 Page 3
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3K-40ES
2016 KANSAS
FOR OFFICE USE ONLY
Please use UPPER CASE letters
INDIVIDUAL ESTIMATED INCOME
to print the first four letters of
Rev. 7-15
TAX VOUCHER
Your last name
Spouse’s last name
If married filing joint, include both names and social security numbers (SSNs).
Your First Name
Initial
Last Name
Your Social
Spouse’s First Name
Initial
Last Name
Security number
Spouse’s Social
Security number
Mailing Address (Number and Street, including Rural Route)
Name or
Address
Change
City
State
Zip Code
4TH QUARTER PAYMENT DUE
4
JANUARY 15, 2017
Daytime Phone Number
Write your SSN(s) on your check or money order and make payable to
“Kansas Individual Estimated Tax.” Mail to: Estimated Tax, Kansas
PAYMENT
$
Department of Revenue, 915 SW Harrison St., Topeka KS 66612-1588.
AMOUNT
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
181016
K-40ES
2016 KANSAS
FOR OFFICE USE ONLY
Please use UPPER CASE letters
INDIVIDUAL ESTIMATED INCOME
to print the first four letters of
Rev. 7-15
TAX VOUCHER
Your last name
Spouse’s last name
If married filing joint, include both names and social security numbers (SSNs).
Your First Name
Initial
Last Name
Your Social
Spouse’s First Name
Initial
Last Name
Security number
Spouse’s Social
Security number
Mailing Address (Number and Street, including Rural Route)
Name or
Address
Change
City
State
Zip Code
3RD QUARTER PAYMENT DUE
3
SEPTEMBER 15, 2016
Daytime Phone Number
Write your SSN(s) on your check or money order and make payable to
“Kansas Individual Estimated Tax.” Mail to: Estimated Tax, Kansas
PAYMENT
$
Department of Revenue, 915 SW Harrison St., Topeka KS 66612-1588.
AMOUNT
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
181016
K-40ES
2016 KANSAS
FOR OFFICE USE ONLY
Please use UPPER CASE letters
INDIVIDUAL ESTIMATED INCOME
to print the first four letters of
Rev. 7-15
TAX VOUCHER
Your last name
Spouse’s last name
If married filing joint, include both names and social security numbers (SSNs).
Your First Name
Initial
Last Name
Your Social
Spouse’s First Name
Initial
Last Name
Security number
Spouse’s Social
Mailing Address (Number and Street, including Rural Route)
Security number
Name or
Address
Change
City
State
Zip Code
2ND QUARTER PAYMENT DUE
2
JUNE 15, 2016
Daytime Phone Number
Write your SSN(s) on your check or money order and make payable to
“Kansas Individual Estimated Tax.” Mail to: Estimated Tax, Kansas
PAYMENT
$
Department of Revenue, 915 SW Harrison St., Topeka KS 66612-1588.
AMOUNT
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
181016
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