Arizona Form 140es - Individual Estimated Income Tax Payment - 2012
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2Worksheet
FOR
ARIZONA FORM
CALENDAR YEAR
140ES
2012
Individual Estimated Income Tax Payment
M M D D 2 0 Y Y
This estimated payment is for tax year ending December 31, 2012, or for tax year ending:
Your First Name and Initial
Last Name
Your Social Security No.
You must
1
enter your
If a joint return, Your Spouse’s First Name and Initial
Last Name
Spouse’s Social Security No.
SSN(s).
1
Current Home Address - number and street, rural route
Apt. No.
Daytime Phone (with area code)
Home Phone (with area code)
2
City, Town or Post Office
State
Zip Code
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
3
DO NOT USE THIS FORM TO MAKE DELINQUENT INCOME TAX PAYMENTS.
USE ONLY FOR ESTIMATED PAYMENTS.
88
88
Check box 1 if you are a first time Arizona income tax return filer .....
1
1
The enclosed amount is payment for quarter number .......................
2
81
81
80
80
Payment: You must round your estimated payment to a whole dollar (no cents). Enter the
3
$
00
amount of payment enclosed ..........................................................................................................
IMPORTANT
Be sure to review your estimated income and adjust your payments as necessary during
the year. Payments for calendar year filers are due as follows:
Payment 1:
April 15, 2012 – Because April 15, 2012 falls on a Sunday and April 16, 2012
is a legal holiday in Washington DC, you have until April 17, 2012 to make
this payment. If you do not pay by April 17, you may be subject to a penalty
starting on April 16th.
Payment 2:
June 15, 2012
Payment 3:
September 15, 2012 – Because September 15 falls on a Saturday, you
have until September 17, 2012 to make this payment. If you do not pay by
September 17, you may be subject to a penalty starting on September 16th.
Payment 4:
January 15, 2013
For fiscal years, the payments are due on the 15th day of the fourth, sixth and ninth months
of the current fiscal year, and the first month of the next fiscal year. If the due date falls on a
Saturday, Sunday or legal holiday, you may file by midnight on the next day following that day.
Print Page
To ensure proper application of this payment, be sure that you:
Complete and submit this form in its entirety. Do not cut this page in half.
Make your check payable to Arizona Department of Revenue.
Write your SSN on your payment.
Attach your payment to the upper left corner of this page.
Mail to Arizona Department of Revenue, PO Box 29085,
Phoenix, AZ 85038-9085.
ADOR 10575 (11)
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