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efta-efta01222556DOJ Data Set 9OtherTear off here
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Unknown
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DOJ Data Set 9
Reference
efta-efta01222556
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2
Persons
0
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i
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rtmenCt oal en ITIreariLy i201
Interns Arrtnue Servne
8 Estimated Tax
Payment Voucher 4
OMB No. 1545-0074
File only if you are making a payment of estimated tax by check or money order. Return this
voucher with your check or money order payable to "United States Treasury." Write your
identifying number and "2017 Form 1040-ES (NR)" on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this voucher.
Calendar year—Due Jan. 15, 2019
Amount of estimated tax you are
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money order.
Dollars
Cents
I
E
I
Your identifying number (SSN or MN) (employer Identification number for an estate or Oust)
Your first name and Initial
Your last name
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.
EFTA01222556
Depvtmcr: ol :o Treariry
' "1" -`°''''' I2018
Internal Ronmes Serve*
Estimated Tax
Payment Voucher
Si
OMB No.1545-0074
File only if you are making a payment of estimated tax by check or money order. Return this
voucher with your check or money order payable to "United States Treasury." Write your
'dentifying number and "2017 Form 1040-ES (NR)" on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this voucher.
Calendar year—Due Sept 17, 2018
Amount of estimated tax you are
ggionnY
money order.
Dollars
Cents
I
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Print or type
-
Your Identifying number (SSN or MN) (employer Identification number for an estate or trust)
Your first name and initial
Your last name
Address (number, street, and apt. no.)
City, state, and ZIP code.
Foreign country name
Foreign province/state/county
I Foreign postal code
For Privacy Act and Paperwork Reduction Act Notice, see Instructions.
Tear off here
g 1040-ES (NR)
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1201 8
Department of the Treasury
Payment Voucher 2
Internal Revenue Serene
Estimated Tax
OMB No.1545-0074
File only if you are making a payment of estimated tax by check or money order. Return this
voucher with your check or money order payable to "United States Treasury." Write your
identifying number and "2017 Form 1040-ES (NR)" on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this voucher.
Calendar year—Due June 16, 2018
Amount of estimated tax you are
payingor
money order.
Dollars
Cents
Your Identifying number (SSN or MN) (employer Identification number for an estate or trust)
Your first name and initial
Your last name
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.
Tear off here
1Witi-tb "sinj
1201
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of the Treasury
Internal Reverent Service
ILI
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Estimated Tax
Payment Voucher 1
OMB No.1545-0074
File only if you are making a payment of estimated tax by check or money order. Return this
voucher with your check or money order payable to "United States Treasury." Write your
'dentifying number and "2017 Form 1040-ES (NR)" on your check or money order. Do not send
cash. Enclose, but do not staple or attach, your payment with this voucher.
Calendar year—Due April 17, 2018
Amount of estimated tax you are
ggecnifir
money order.
Dollars
Cents
Your Identifying number (SSN or MN) (employer identification number for an estate or trust)
Your first name and initial
Your last name
Address (number, street, and apt. no.)
City, state, and ZIP code.
Foreign country name
I Foreign province/state/county
Foreign postal code
For Privacy Act and Paperwork Reduction Act Notice. see instructions.
EFTA01222557
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Phone
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