Form 1040es-Me - Estimated Tax For Individuals Page 4

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2012
VOUCHER 3
for INDIVIDUALS
DUE SEPT. 17, 2012
99
2012 ESTIMATED TAX PAYMENT
1040ES-ME
*1202320*
Your First Name
Initial
Your Social Security Number
-
-
1.
Check if you are a fi rst-time estimate fi ler.
Your Last Name
2.
Check if your address has changed.
3.
Spouse’s First Name
Initial
Spouse’s Social Security Number
AMOUNT OF PAYMENT:
-
-
,
,
.
Spouse’s Last Name
00
4.
IF YOU ARE A FISCAL YEAR FILER, ENTER
/
Home Address (number, street and apt. no.)
MONTH/YEAR ENDING:
NOTE: If you are married and plan to fi le a joint 2012
return with your spouse, enter your spouse’s name and
City
State
Zip
social security number in the spaces provided.
Pay electronically using Maine EZ Pay at
and eliminate the need to fi le 1040ES-ME or detach and mail this voucher
with check or money order payable to TREASURER, STATE OF MAINE, to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101
(cut along dotted line)
2012
VOUCHER 4
for INDIVIDUALS
DUE JAN 15, 2013
99
2012 ESTIMATED TAX PAYMENT
1040ES-ME
*1202320*
Your First Name
Initial
Your Social Security Number
-
-
1.
Check if you are a fi rst-time estimate fi ler.
Your Last Name
2.
Check if your address has changed.
3.
Spouse’s First Name
Initial
Spouse’s Social Security Number
AMOUNT OF PAYMENT:
-
-
,
,
.
Spouse’s Last Name
00
4.
IF YOU ARE A FISCAL YEAR FILER, ENTER
/
Home Address (number, street and apt. no.)
MONTH/YEAR ENDING:
NOTE: If you are married and plan to fi le a joint 2012
return with your spouse, enter your spouse’s name and
City
State
Zip
social security number in the spaces provided.
Pay electronically using Maine EZ Pay at
and eliminate the need to fi le 1040ES-ME or detach and mail this voucher
with check or money order payable to TREASURER, STATE OF MAINE, to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101

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