Form 1120b-Es/me - Maine Estimated Tax Payment Voucher For Financial Institutions - 2015

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2015
FORM 1120B-ES/ME
99
MAINE ESTIMATED TAX
FINANCIAL INSTITUTIONS
PAYMENT VOUCHER FOR
VOUCHER 1 - DUE APRIL 15
*1134310*
(or 15th day of the fourth month for fi scal year taxpayers)
Enter beginning and ending dates for the entire tax year (NOT the quarter dates)
If this payment is for a short year period, enter the next fi ling period below
to
to
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
.00
Financial Institution Name
Amount of Payment
Address
Federal Employer ID Number
City, Town, or Post Offi ce
State
ZIP Code
Contact Phone Number
Detach this voucher and make check payable to TREASURER, STATE OF MAINE.
Mail check and voucher to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101
PLEASE DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. INCLUDE THE ORIGINAL DOWNLOADABLE VERSION OF THIS FORM WITH YOUR PAYMENT.
2015
FORM 1120B-ES/ME
99
MAINE ESTIMATED TAX
FINANCIAL INSTITUTIONS
PAYMENT VOUCHER FOR
*1134310*
VOUCHER 2 - DUE JUNE 15
(or 15th day of the sixth month for fi scal year taxpayers)
Enter beginning and ending dates for the entire tax year (NOT the quarter dates)
If this payment is for a short year period, enter the next fi ling period below
to
to
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
MM
DD
YYYY
.00
Financial Institution Name
Amount of Payment
Address
Federal Employer ID Number
City, Town, or Post Offi ce
State
ZIP Code
Contact Phone Number
Detach this voucher and make check payable to TREASURER, STATE OF MAINE.
Mail check and voucher to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101
PLEASE DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. INCLUDE THE ORIGINAL DOWNLOADABLE VERSION OF THIS FORM WITH YOUR PAYMENT.

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