Form Ia Corp 1120es - Corporation Estimate Payment Voucher Page 2
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2IA CORP 1120ES
Iowa Department of Revenue
Corporation Estimate Payment Voucher
4
INSTALLMENT
Due Date: Last day of the 12th month
of the calendar or fiscal year.
PAYMENT AMOUNT $ ______________
FOR CALENDAR YEAR _______ OR FISCAL YEAR ENDING __________ , 20 _____
Corporation Name
Federal TIN
Mail to:
Corporation Estimate Processing
Iowa Department of Revenue
Address (number and street, including apartment)
PO Box 10466
Des Moines, IA 50306-0466
City, State, ZIP
Daytime Telephone Number
45-004 (08/10/12)
(
)
-
*1245004019999*
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.
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