Form M14 - Individual Estimated Tax Payment -2004
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1Individual Estimated Tax Payment
To pay by check
To pay electronically
Complete the voucher below and mail
Do not use the voucher below.
it with your check.
• To pay over the Internet, go to
and follow
the e-FILE Minnesota links. You’ll
need your Social Security number,
your spouse’s Social Security
number if filing a joint return, and
your bank routing and account
numbers.
• To pay by phone, call
1-800-570-3329. You’ll need the
same information for phone pay-
ments as you do for payments over
the Internet.
Cut carefully along this line to detach.
2004 M14
0060
Individual Estimated Tax
Your Soc. Sec.
number
First name and initial
Last name
Spouse’s first name and initial
Last name
Your spouse’s
Soc. Sec. number
Address
City
State
Zip code
12 04
Tax-year end
Make check payable to Minnesota Revenue and mail to:
Minnesota Revenue, P.O. Box 64037, St. Paul, MN 55164-0037
AMOUNT
00
OF CHECK
Round amount to the
nearest whole dollar.
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