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2. First four letters
2013
1. Primary Social
*
*
of last name
MISSOURI DEPARTMENT OF REVENUE
Security Number ....
FORM
ESTIMATED TAX DECLARATION
MO‑1040ES
FOR INDIVIDUALS
3. Secondary Social
*
Security Number ....
YOUR NAME (LAST, FIRST, INITIAL)
4. Amount of this
0 0
$
Installment
SPOUSE’S NAME (LAST, FIRST, INITIAL)
•
(U.S. funds only) .....
IN CARE OF NAME
1st QTR
ADDRESS (NUMBER AND STREET)
*
(Calendar year—due
•
DOR USE ONLY
April 15, 2013)
CITY, STATE, ZIP CODE
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
RETURN THIS FORM WITH CHECK OR MONEY ORDER PAYABLE TO:
MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 555, JEFFERSON CITY,
IF YOU WISH TO RECEIVE A PREPRINTED COUPON BOOK FOR THE REMAINDER OF 2013, PLEASE CHECK THIS
*
MO 65105‑0555
BOX. (IT IS NOT NECESSARY TO CHECK THIS BOX FOR A 2014 BOOK, AS IT WILL BE AUTOMATICALLY ISSUED.)
(01-2013)
2. First four letters
2013
1. Primary Social
*
*
of last name
MISSOURI DEPARTMENT OF REVENUE
Security Number ....
FORM
ESTIMATED TAX DECLARATION
MO‑1040ES
FOR INDIVIDUALS
3. Secondary Social
Security Number ....
YOUR NAME (LAST, FIRST, INITIAL)
4. Amount of this
0 0
$
Installment
SPOUSE’S NAME (LAST, FIRST, INITIAL)
•
(U.S. funds only) ...
IN CARE OF NAME
2nd QTR
ADDRESS (NUMBER AND STREET)
*
(Calendar year—due
•
DOR USE ONLY
June 17, 2013)
CITY, STATE, ZIP CODE
.
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
RETURN THIS FORM WITH CHECK OR MONEY ORDER PAYABLE TO:
MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 555, JEFFERSON CITY,
IF YOU WISH TO RECEIVE A PREPRINTED COUPON BOOK FOR THE REMAINDER OF 2013, PLEASE CHECK THIS
*
MO 65105‑0555
BOX. (IT IS NOT NECESSARY TO CHECK THIS BOX FOR A 2014 BOOK, AS IT WILL BE AUTOMATICALLY ISSUED.)
(01-2013)
2. First four letters
2013
1. Primary Social
*
*
of last name
MISSOURI DEPARTMENT OF REVENUE
Security Number ....
ESTIMATED TAX DECLARATION
FORM
MO‑1040ES
FOR INDIVIDUALS
3. Secondary Social
*
Security Number ....
YOUR NAME (LAST, FIRST, INITIAL)
4. Amount of this
0 0
$
Installment
SPOUSE’S NAME (LAST, FIRST, INITIAL)
•
(U.S. funds only) ...
IN CARE OF NAME
3rd QTR
ADDRESS (NUMBER AND STREET)
*
(Calendar year—due
•
DOR USE ONLY
September 16, 2013)
CITY, STATE, ZIP CODE
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
RETURN THIS FORM WITH CHECK OR MONEY ORDER PAYABLE TO:
MISSOURI DEPARTMENT OF REVENUE, P.O. BOX 555, JEFFERSON CITY,
MO 65105‑0555
(01-2013)