Form D-40es - Estimated Payment For Individual Income Tax - 2016
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12016
D-40ES Estimated Payment for
Government of the
*160400310002*
District of Columbia
Individual Income Tax
Tax period ending (MMYY)
This is a FILL-IN format. Please do not handwrite any
data on this form other than your signature.
.
Quarterly payment
$
00
(dollars only)
OFFICIAL USE ONLY
Your social security number (SSN)
Spouse’s/registered domestic partner’s SSN
Vendor ID#0002
Print
Your first name
M.I.
Last name
Clear
Spouse’s/registered domestic partner’s first name
Last name
M.I.
Address (number, street and suite/apartment number if applicable)
City
State
Zip Code + 4
2016 D-40ES
Voucher number:
Due date:
Estimated Payment for Individual Income Tax
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Parent category: Financial