Form D-41es - Estimated Payment For Fiduciary Income Tax - 2012
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1D-41ES Estimated Payment for Fiduciary Income Tax
Instructions:
• Use the D-41ES Estimated Payment Return to make any estimated tax payments for your D-41 return.
• Enter your payment amount.
• Enter your estate or trust FEIN or SSN.
• Enter name(s) and address exactly as they are on your return.
• Make your check or money order payable to the DC Treasurer.
• Write the estate or trust FEIN/SSN, tax period and D-41 on your payment (check or money order).
• Mail the D-41ES with payment to the Office of Tax and Revenue, PO Box 441, Washington, DC 20044-0441.
Notes:
• If your liability exceeds $10,000 in any period, you must pay electronically.
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• For electronic filers, in order to comply with the new banking rules, you will be asked the question, “Will the funds for this payment
come from an account outside of the United States”. If the answer is yes, you will be required to pay by check or credit card. Please
notify this agency if your response changes in the future. If your payment is rejected, you may be subject to the District’s dishonored
check fee and additional penalties and interest.
Send the D-41ES to: Office of Tax and Revenue, PO Box 441, Washington, DC 20044-0441
Print
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*120410710002*
2012
D-41ES Estimated Payment for
Government of the
District of Columbia
Fiduciary Income Tax
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
Quarterly payment
.00
$
(dollars only)
OFFICIAL USE ONLY
Estate or trust’s federal employer ID number
Estate or trust’s social security number
Vendor ID#0002
Estate or trust name
Tax period ending (MMYY)
Fiduciary’s name and title
Fiduciary’s address (number, street and apartment/suite #, if applicable)
City
State
Zip Code + 4
l
l
Voucher number:
Due date:
2012 D-41ES
Rev. 09/11
Estimated Payment for Fiduciary Income Tax
Print
Clear
l
*120410710002*
2012
D-41ES Estimated Payment for
Government of the
District of Columbia
Fiduciary Income Tax
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
Quarterly payment
$
.00
(dollars only)
OFFICIAL USE ONLY
Estate or trust’s federal employer ID number
Estate or trust’s social security number
Vendor ID#0002
Estate or trust name
Tax period ending (MMYY)
Fiduciary’s name and title
Fiduciary’s address (number, street and apartment/suite #, if applicable)
City
State
Zip Code + 4
l
Voucher number:
Due date:
l
2012 D-41ES
Rev. 09/11
Estimated Payment for Fiduciary Income Tax
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