Form Sc1040es - South Carolina Individual Declaration Of Estimated Tax - 2012 Page 5

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SC1040ES
1350
SC DEPARTMENT OF REVENUE
(Rev. 8/29/11)
2012
3080
INDIVIDUAL DECLARATION OF ESTIMATED TAX
Your Social Security Number
Spouse's Social Security Number (if joint)
Composite Filer
2
Due June 15, 2012
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Payment Voucher Quarter
Name and Address (include spouse's name if joint)
PAYMENT
AMOUNT
.
14-0806
Office Use Only
SC Department of Revenue, Estimated Tax, Columbia SC 29214-0005
Mail this form with check or money order (include Social Security Number) payable to:
30801021
detach here
SC1040ES
1350
SC DEPARTMENT OF REVENUE
(Rev. 8/29/11)
2012
3080
INDIVIDUAL DECLARATION OF ESTIMATED TAX
Your Social Security Number
Spouse's Social Security Number (if joint)
Composite Filer
3
Due September 17, 2012
Payment Voucher Quarter
Payment Voucher Quarter
Name and Address (include spouse's name if joint)
PAYMENT
AMOUNT
.
14-0806
Office Use Only
SC Department of Revenue, Estimated Tax, Columbia SC 29214-0005
Mail this form with check or money order (include Social Security Number) payable to:
30801021
detach here
SC1040ES
1350
SC DEPARTMENT OF REVENUE
(Rev. 8/29/11)
2012
3080
INDIVIDUAL DECLARATION OF ESTIMATED TAX
Your Social Security Number
Spouse's Social Security Number (if joint)
Composite Filer
4
Due January 15, 2013
Payment Voucher Quarter
Payment Voucher Quarter
Name and Address (include spouse's name if joint)
PAYMENT
AMOUNT
.
14-0806
Office Use Only
SC Department of Revenue, Estimated Tax, Columbia SC 29214-0005
Mail this form with check or money order (include Social Security Number) payable to:
30801021

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