Form 1-Es - Estimated Tax Payment Voucher - 2013
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1
2
3
4Voucher 1
1-ES
Massachusetts
Estimated Tax Payment — 2013
Department of Revenue
Social Security number
Spouse’s Social Security no.
Due date
Voucher
Estimated tax for the year ending
/
/
1
MONTH
DAY
YEAR
Last name (print)
First name and initial (and spouse’s, if joint return)
1. Amount of this installment (from line 12 of esti-
mated tax worksheet):
$
Street address
Check which form you plan to file:
Form 1 Full-Year Resident
Form 1-NR/PY Nonresident/Part-Year Resident
Nonresident Composite Return
City/Town
State
Zip
Important Information
File your Form 1-ES online at
no cost! It’s fast, easy and se-
Return this voucher with check or money order payable to:
Commonwealth of Massachusetts.
cure. Go to
and click on WebFile for In-
Mail to:
Massachusetts Department of Revenue, PO Box 7007, Boston, MA 02204.
come for more information.
For Privacy Act Notice, see instructions for the form you file.
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