Form Ar1100esct - Estimated Corporation Income Tax Payment Voucher Page 6

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NOTE: Please cut each voucher as straight as possible along the dotted line.
You must cut along the dotted line or the processing of your payment will be delayed.
STATE OF ARKANSAS
AR1100ESCT
Extension Corporation Income Tax Payment
Voucher
(R 12/31/2014)
AIRS
5
Tax Year Ending __________________
(MM/DD/YYYY)
Federal Employer Identification
Number
Due Date
Click Here to Print Vouchers
Name of
Click Here to Clear Voucher Information
Corporation
Amount
Address
$
of this
Payment
City, State, Zip
Enter Whole Dollars
Telephone #
(ex. 1,234,567.00)
CITEIN0000000000012312015EXTPYM00000000000000000000000

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