Form Mo-1040es - Estimated Tax Declaration For Individuals - 2014

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2. First four letters
2014
1. Primary Social
*
*
Missouri Department Of Revenue
of last name
Security Number .
Estimated Tax Declaration
Form
MO‑1040ES
For Individuals
3. Secondary Social
*
Security Number .
Your Name (Last, First, Initial)
4. Amount of this
0 0
Installment
$
Spouse’s Name (Last, First, Initial)
(U.S. funds only) ...
In Care Of Name
1st Qtr.
Address (Number And Street)
*
(Calendar year—due
Department
April 15, 2014)
City, State, Zip Code
Use Only
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
Return This Form With Check Or Money Order Payable To:
Missouri Department Of Revenue, P.O. Box 555, Jefferson City,
If You Wish To Receive A Preprinted Coupon Book For The Remainder Of 2014, Please Check This
*
Box. (It Is Not Necessary To Check This Box For A 2015 Book, As It Will Be Automatically Issued.)
Mo 65105‑0555
Form MO‑1040ES (Revised 12‑2013)
2. First four letters
2014
1. Primary Social
*
*
of last name
Missouri Department Of Revenue
Security Number .
Estimated Tax Declaration
Form
MO‑1040ES
For Individuals
3. Secondary Social
Security Number .
Your Name (Last, First, Initial)
4. Amount of this
0 0
$
Installment
Spouse’s Name (Last, First, Initial)
(U.S. funds only) ...
In Care Of Name
2nd Qtr.
Address (Number And Street)
*
(Calendar year—due
Department
June 16, 2014)
City, State, Zip Code
Use Only
.
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
Return This Form With Check Or Money Order Payable To:
Missouri Department Of Revenue, P.O. Box 555, Jefferson City,
If You Wish To Receive A Preprinted Coupon Book For The Remainder Of 2014, Please Check This
*
Mo 65105‑0555
Box. (It Is Not Necessary To Check This Box For A 2015 Book, As It Will Be Automatically Issued.)
Form MO‑1040ES (Revised 12‑2013)
2. First four letters
2014
1. Primary Social
*
*
of last name
Missouri Department Of Revenue
Security Number .
Estimated Tax Declaration
Form
MO‑1040ES
For Individuals
3. Secondary Social
*
Security Number .
Your Name (Last, First, Initial)
4. Amount of this
0 0
Installment
$
Spouse’s Name (Last, First, Initial)
(U.S. funds only) ...
In Care Of Name
3rd Qtr.
Address (Number And Street)
*
(Calendar year—due
Department
September 15, 2014)
City, State, Zip Code
Use Only
*
If you pay by check, you authorize the Department of Revenue to process the check
electronically. Any check returned unpaid may be presented again electronically.
Return This Form With Check Or Money Order Payable To:
Missouri Department Of Revenue, P.O. Box 555, Jefferson City,
Mo 65105‑0555
Form MO‑1040ES (Revised 12‑2013)

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