California Form 100-Es - Corporation Estimated Tax - 2004 Page 2
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TAXABLE YEAR
CALIFORNIA FORM
2004
Corporation Estimated Tax
100-ES
For calendar year 2004 or fiscal year beginning month_______ day______ year 2004, and ending month_______ day_______ year________
This entity will file Form:
100
100W
100S
109
Due by the 15th day of 12th month of tax year; for
Installment 4
Saturdays, Sundays, or holidays, see instructions.
Return this form with a check or money order payable to:
If no payment is due, do not mail this form.
FRANCHISE TAX BOARD, PO BOX 942857, SACRAMENTO CA 94257-0531
C
California corporation number
Federal employer identification number (FEIN)
Estimated Tax Amount
Corporation name
Attention:
QSub Tax Amount
Owner’s or Representative’s name
Corporation address
PMB no.
Total Installment Amount
City
State
ZIP Code
. . . . .
,
,
100ES04103
Form 100-ES (REV. 2003)
EFT TAXPAYER: DO NOT MAIL THIS FORM
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