Form 140es - Individual Estimated Income Tax Payment - 2014
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1
2Worksheet
FOR
Arizona Form 140ES
Individual Estimated Income Tax Payment
CALENDAR YEAR
2014
DO NOT USE THIS FORM TO MAKE DELINQUENT INCOME TAX PAYMENTS.
Use this form only for estimated payments.
M M D D Y Y Y Y
This estimated payment is for tax year ending December 31, 2014, or for tax year ending:
Your First Name and Middle Initial
Last Name
Your Social Security No.
Enter
1
your
If a joint return, Your Spouse’s First Name and Middle 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)
2
94
City, Town or Post Office
State
ZIP Code
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
88
3
Check box 1 if you are a first time Arizona income tax return filer ...
1
1
81 PM
80 RCVD
The enclosed amount is payment for quarter number......................
2
Payment: You must round your estimated payment to
3
$
00
a whole dollar (no cents). Enter the amount of payment enclosed ...........................................
Print Page
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, 2014
Payment 2:
June 15, 2014 – Because June 15
falls on a Sunday, you have until
th
June 16, 2014 to make this payment.
Payment 3:
September 15, 2014
Payment 4:
January 15, 2015
For fiscal year filers, the payments are due on the 15
day of the fourth, sixth and ninth
th
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 business day
following that day.
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 and tax year on your payment.
Mail to Arizona Department of Revenue, PO Box 29085,
Phoenix, AZ 85038-9085.
ADOR 10575 (13)
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