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Voucher 4 OMB No. 154S-0074
File only if you are making a payment of estimated tax by check or money order. Return this Calendar year—Due Jan. 15, 2020
voucher with your check or money order payable to "United States Treasury." Write your Amount of estimated tax you are
identifying number and "2019 Form 1040-ES (NR)" on your check or money order. Do not send Dollars Cents
cash. Enclose, but do not staple or attach, your payment with this voucher. money order.
Your identifying number (SSN or MN) (employer Identification number for an estate or trust)
Your first name and Initial Your last name
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City, state, and ZIP code.
Foreign country name ! Foreign province/state/county Foreign postal code
For Privacy Act and Paperwork Reduction Act Notice. see instructions.
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Payment Voucher OMB No. 1545-0074
File only if you are making a payment of estimated tax by check or money order. Return this Calendar year—Due Sept. 10, 2019
voucher with your check or money order payable to "United States Treasury." Write your Amount of estimated tax you are
dentifying number and "2019 Form 1040-ES (NR)" on your check or money order. Do not send c[aplet/fir Dollars Cents
cash. Enclose, but do not staple or attach, your payment with this voucher. money order.
Your Identifying number (SSN or ITIN) (employer Identification number for an estate or trust)
Your first name and Initial Your last name
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E Address (number, street, and apt. no.)
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City, state, and ZIP code.
Foreign country name Foreign province/state/county Foreign postal code
For Privacy Mt and Paperwork Reduction Act Notice, see Instructions.
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File only if you are making a payment of estimated tax by check or money order. Return this Calendar year—Due June 17, 2019
voucher with your check or money order payable to "United States Treasury." Write your Amount of estimated tax you are
identifying number and "2019 Form 1040-ES (NR)" on your check or money order. Do not send mlenificielay Dollars Cents
cash. Enclose, but do not staple or attach, your payment with this voucher. money order.
Your Identifying number (SSN or ITIN) (employer Identification number for an estate or trust)
Your first name and Initial Your last name
IE Address (number, street, and apt. no.)
City, state, and ZIP code.
Foreign country name ! Foreign province/state/county Foreign postal code
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
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Revers, smoke 1201 0 Payment Voucher OMB No.1545-0074
File only it you are making a payment of estimated tax by check or money order. Return this Calendar year-Due April 15, 2019
voucher with your check or money order payable to "United States Treasury." Write your Amount of estimated tax you are
dentifying number and "2019 Form 1040-ES (NR)" on your check or money order. Do not send ct347or
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cash. Enclose, but do not staple or attach, your payment with this voucher. money order.
Your Identifying number (SSN or ITIN) (employer Identification number for an estate or trust)
Your first name and Initial Your last name
E Address (number, street, and apt. no.)
City, state, and ZIP code.
Foreign country name ! Foreign province/state/county Foreign postal code
For Privacy Act and Paperwork Reduction Act Notice. see instructions.
EFTA01222559
ℹ️ Document Details
SHA-256
bc98745a6ba95e6e1679466b4cf5d47914cceba749adb7e01c8ef13849011015
Bates Number
EFTA01222558
Dataset
DataSet-9
Document Type
document
Pages
2
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