Form Ia 1040es - Individual Income Estimate Payment Voucher - 2013 Page 2
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1
22013 IA 1040ES
Iowa Department of Revenue
Individual Income Estimate Payment Voucher
2
INSTALLMENT
Due Date: July 1, 2013
PAYMENT AMOUNT $ ______________
FOR CALENDAR YEAR 2013 OR FISCAL YEAR ENDING _____________ , 20 _____
Mail to:
PRINT name (last, first, middle initial)
Social Security Number
Estimate Processing
Iowa Department of Revenue
Address (number and street, including apartment)
PO Box 10466
Des Moines, IA 50306-0466
45-002 (09/07/12)
City, State, ZIP
Daytime Telephone Number
(
)
-
*1245002019999*
Make check or money order payable to "Treasurer - State of Iowa"
When you pay by check, you authorize the Department of Revenue
to convert your check to a one-time electronic banking transaction.
2013 IA 1040ES
Iowa Department of Revenue
Individual Income Estimate Payment Voucher
1
INSTALLMENT
Due Date: April 30, 2013
PAYMENT AMOUNT $ ______________
FOR CALENDAR YEAR 2013 OR FISCAL YEAR ENDING _____________ , 20 _____
Mail to:
Estimate Processing
PRINT name (last, first, middle initial)
Social Security Number
Iowa Department of Revenue
PO Box 10466
Address (number and street, including apartment)
Des Moines, IA 50306-0466
45-002 (09/07/12)
City, State, ZIP
Daytime Telephone Number
(
)
-
*1245002019999*
Make check or money order payable to "Treasurer - State of Iowa"
When you pay by check, you authorize the Department of Revenue
to convert your check to a one-time electronic banking transaction.
Iowa Department of Revenue
2013 Nonresident Request for Release From Withholding
44-017a (09/07/12)
For calendar year 2013 or fiscal year beginning ________________ , __________ and ending ________________ , ___________
Social Security Number
Daytime Telephone Number
Name
(
)
-
City
State
Zip Code
Number and Street or Rural Route
Income from Iowa source(s).
Iowa Estimated
Iowa Estimated
Name and Address of Payer
Gross Income
Related Expenses
Net Income
a)
a) ___________________________________________________________________________________________________________________________________________
b)
b) ___________________________________________________________________________________________________________________________________________
Total Estimated Iowa Net Income:
Exempt: Check this box if you are exempt
Tax Due: Check this box if tax due
Add net income on lines a and b.
from paying Iowa estimated tax.
and an IA 1040ES are enclosed.
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