Form K-40es - Quarterly Individual Estimated Income Tax Vouched - 2002 Page 4

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2002 KANSAS
K-40ES
For Office Use Only
Please use UPPER CASE letters
INDIVIDUAL ESTIMATED INCOME
to print the first four letters of
TAX VOUCHER
Rev. (8/01)
Your last name
Spouse’s last name
Taxpayer’s First Name
Initial
Last Name
-
-
Your Social
Security number
Spouse’s First Name
Last Name
Initial
-
-
Spouse’s Social
Security number
Mailing Address (Number and Street, including Rural Route)
Name or
4
address
change
City, Town, or Post Office
State
Zip Code
- If married filing joint return, include both names and Social Security numbers
,
,
.
- Make check or money order payable to: Kansas Individual Estimated Income Tax
PAYMENT
$
AMOUNT
4TH QUARTER PAYMENT DUE BY JANUARY 15, 2003
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM


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