Form 04-574 E - Alaska Fisheries Business Tax Voluntary Estimated Payment - 1999
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1Important: To insure proper credit, use
Alaska Fisheries Business Tax
the same name, EIN or SSN and license
Voluntary Estimated Payment
number that will be used on the return.
Date
License Number
Federal EIN or SSN
Calendar Year 1999
Business Name
Mailing Address
Installment Amount
$
City, State, Zip Code
For Department Use Only
THIS FORM MUST ACCOMPANY ESTIMATED PAYMENTS
Form 04-574 E (Rev. 10/98)
Important: To insure proper credit, use
Important: To insure proper credit,
Alaska Fisheries
Alaska Fisheries Business Tax
the same name, EIN or SSN and license
use the same name, EIN or SSN and
Business Tax
Voluntary Estimated Payment
number that will be used on the return.
license number that will be used on
Date
License Number
Federal EIN or SSN
Calendar Year 1999
Business Name
Mailing Address
Installment Amount
$
City, State, Zip Code
For Department Use Only
THIS FORM MUST ACCOMPANY ESTIMATED PAYMENTS
Form 04-574 E (Rev. 10/98)
Alaska Fisheries Business Tax
Alaska Fisheries Business Tax
Important: To insure proper credit, use
Important: To insure proper credit,
Voluntary Estimated Payment
the same name, EIN or SSN and license
Voluntary Estimated Payment
number that will be used on the return.
Date
License ID
Federal EIN or SSN
Calendar Year 1999
Business Name
Mailing Address
Installment Amount
$
City, State, Zip Code
For Department Use Only
THIS FORM MUST ACCOMPANY ESTIMATED PAYMENTS
Form 04-574 E (Rev. 10/98)
Important: To insure proper credit, use
Alaska Fisheries Business Tax
the same name, EIN or SSN and license
Voluntary Estimated Payment
number that will be used on the return.
Date
License ID
Federal EIN or SSN
Calendar Year 1999
Business Name
Mailing Address
Installment Amount
$
City, State, Zip Code
For Department Use Only
THIS FORM MUST ACCOMPANY ESTIMATED PAYMENTS
Form 04-574 E (Rev. 10/98)
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