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2012 MICHIGAN
Due Date for Calendar Year Filers
MI-1041ES Fiduciary Voucher for Estimated Income Tax
Name of Estate or Trust
Estate or Trust Federal Employer Identification Number (FEIN)
Name and Title of Fiduciary
WRITE PAYMENT
AMOUNT HERE
$
.00
Street Address
Make check payable to “State of
MAIL TO:
Michigan.”
Enclose your check
Michigan Department of Treasury
(do not fold or staple). Write the
City, State, ZIP Code
P.O. Box 30774
estate’s
or
trust’s
FEIN
and
Lansing, MI 48909-8274
“2012 MI-1041ES” on your check.
DO NOT WRITE IN THIS SPACE
2012 MICHIGAN
Due Date for Calendar Year Filers
MI-1041ES Fiduciary Voucher for Estimated Income Tax
Name of Estate or Trust
Estate or Trust Federal Employer Identification Number (FEIN)
Name and Title of Fiduciary
WRITE PAYMENT
AMOUNT HERE
$
.00
Street Address
Make check payable to “State of
MAIL TO:
Michigan.”
Enclose your check
Michigan Department of Treasury
(do not fold or staple). Write the
City, State, ZIP Code
P.O. Box 30774
estate’s
or
trust’s
FEIN
and
Lansing, MI 48909-8274
“2012 MI-1041ES” on your check.
DO NOT WRITE IN THIS SPACE
2012 MICHIGAN
Due Date for Calendar Year Filers
MI-1041ES Fiduciary Voucher for Estimated Income Tax
Name of Estate or Trust
Estate or Trust Federal Employer Identification Number (FEIN)
Name and Title of Fiduciary
WRITE PAYMENT
AMOUNT HERE
$
.00
Street Address
Make check payable to “State of
MAIL TO:
Michigan.”
Enclose your check
Michigan Department of Treasury
(do not fold or staple). Write the
City, State, ZIP Code
P.O. Box 30774
estate’s
or
trust’s
FEIN
and
Lansing, MI 48909-8274
“2012 MI-1041ES” on your check.
DO NOT WRITE IN THIS SPACE
2012 MICHIGAN
Due Date for Calendar Year Filers
MI-1041ES Fiduciary Voucher for Estimated Income Tax
Name of Estate or Trust
Estate or Trust Federal Employer Identification Number (FEIN)
Name and Title of Fiduciary
WRITE PAYMENT
AMOUNT HERE
$
.00
Street Address
Make check payable to “State of
MAIL TO:
Michigan.”
Enclose your check
Michigan Department of Treasury
(do not fold or staple). Write the
City, State, ZIP Code
P.O. Box 30774
estate’s
or
trust’s
FEIN
and
Lansing, MI 48909-8274
“2012 MI-1041ES” on your check.
DO NOT WRITE IN THIS SPACE