Form D-422 - Underpayment Of Estimated Tax By Individuals - 2012 Page 2
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1
2Page 2
Last Name (First 10 Characters)
Your Social Security Number
D-422
Web
12-12
Part III. Regular Method
Payment Due Dates
(If the payment due date falls on a Saturday, Sunday or holiday, the
Section A - Figure Your Underpayment
payment is due on or before the next business day.)
(a)
(b)
(c)
(d)
4/15/12
6/15/12
9/15/12
1/15/13
1 6.
Divide line 8 by 4 and enter the result in each column. Exception: If you
use the annualized income installment method, complete Form D-422A
1 6.
(Annualized Income Installment Worksheet) and check this box.
1 7.
Estimated tax paid and tax withheld. For column (a) only, enter the
amount from line 17 on line 21. (If line 17 is equal to or more than
1 7.
line 16 for each payment period, stop here; you do not owe interest.)
Complete lines 18 through 24 of one column before going to the
next column.
1 8.
1 8.
Enter amount, if any, from line 24 of previous column.
1 9.
1 9.
Add lines 17 and 18.
2 0.
Add amounts on lines 22 and 23 of the previous column and
20.
enter the result.
2 1.
Subtract line 20 from line 19 and enter the result. If zero or less, enter
21.
zero. (For column (a) only, enter the amount from line 17.)
2 2.
Remaining underpayment from previous period. If the amount on line 21
is -0-, subtract line 19 from line 20 and enter the result. Otherwise,
22.
enter -0-.
2 3.
Underpayment. If line 16 is larger than or equal to line 21, subtract
line 21 from line 16 and enter the result. Enter -0- on line 18 of
23.
the next column and go to line 19. Otherwise, go to line 24.
2 4.
Overpayment. If line 21 is larger than line 16, subtract line 16 from line
24.
21 and enter the result. Then go to line 18 of next column.
Section B - Figure the Interest on Underpayment
(Complete lines 25 and 26 of one column before going to the next column)
4/15/12
6/15/12
9/15/12
1/15/13
April 15, 2012 - April 15, 2013
Days:
Days:
Days:
Days:
25.
Number of days after the date shown above line 25 through the date
the amount on line 23 was paid or 4/15/13, whichever is earlier.
25.
26.
U nderpayment
Number of days
X
X .05
on line 23
on line 25
( see instructions)
365
26. $
$
$
$
27.
$
27.
Interest on the underpayment (Add amounts on line 26.) Enter here and on Form D-400, line 27d.
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