Form D-40es - Estimated Payment For Individual Income Tax - 2013

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2013
D-40ES Estimated Payment for
l
Government of the
*130400310002*
District of Columbia
Individual Income Tax
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
l
.
Quarterly payment
$
00
(dollars only)
OFFICIAL USE ONLY
Your social security number (SSN)
Spouse’s/partner’s SSN
Vendor ID#0002
Your first name, middle initial, last name. (Leave a space between names and initial.)
Your spouse’s/registered domestic partner’s first name, middle initial, last name. (Leave a space between names and initial.)
Address (number, street and apartment number if applicable)
City
State
Zip Code + 4
Voucher number:
Due date:
2013 D-40ES
l
Estimated Payment for Individual Income Tax

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