Form 40es - Estimated Income Tax Payment Voucher - 2012

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The voucher below needs to be filled out to remit your
estimated income tax payment. For each quarterly
payment made, a separate voucher will need to be
prepared. If you are making 4 payments, then you will
fill out this voucher four times with the information for
each payment. Please see the instructions on page 4
for more information.
DETACH ALONG THIS LINE AND MAIL VOUCHER WITH YOUR FULL PAYMENT
40ES 2012
Alabama Department of Revenue
Œ
Estimated Income Tax Payment Voucher
Print
Reset
PRIMARY TAXPAYER’S
SPOUSE’S
LAST
•
FIRST NAME
FIRST NAME
NAME
MAILING
ADDRESS
DAYTIME
CITY
STATE
ZIP
TELEPHONE NUMBER
-This form has been enhanced to print a two dimensional
CHECK IF FISCAL YEAR
(2D) barcode. The PRINT FORM button MUST be used to
Beginning Date:
generate the (2D) barcode which contains data entered on
•
Ending Date:
the form. The use of a 2D barcode vastly improves
•
Primary Taxpayer SSN:
processing of your return and reduces the costs associated
•
Spouse SSN:
with processing your return.
•
Amount Paid With Voucher:
$
- Just key in your data prior to printing the form. PLEASE
MAIL TO: Alabama Department of Revenue, Individual Estimates,
DO NOT HANDWRITE ANY DATA ON THE FORM.
P.O. Box 327485, Montgomery, AL 36132-7485
ADOR

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