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efta-efta01222556DOJ Data Set 9Other

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DOJ Data Set 9
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efta-efta01222556
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EFTA Disclosure
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Tear off here i DeUer i 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 gg ielliVi 7 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 _ 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) De 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 LL of the Treasury Internal Reverent Service ILI ° 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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