Form Ubit-Es - Nonprofit Corp. Estimated Tax Payment Voucher

Form Ubit-Es - Nonprofit Corp. Estimated Tax Payment Voucher - 2011

Massachusetts

UBIT-ES

Nonprofit Corp. Estimated Tax Payment — 2011 Voucher 1

Dept. of Revenue

For calendar year 2011 or other taxable year beginning in 2011

Federal Identification number

DOR use only

Taxable year

Due date

Fill out a & b, only if amending or making first payment.

a. Total tax for prior year.

b. Overpayment from last

year credited to estimated

Name of corporation

tax for this year.

c. Estimated tax for the year

Street address

ending:

MONTH

DAY

YEAR

1. Amount of this installment

City/Town

State

Zip

(.40 times estimated tax). (New

corporations see note below*)

2. Amount of unused overpayment

credit, if any, applied to this

Return this voucher with check or money order

installment.

Check appropriate box:

payable to: Commonwealth of Massachusetts.

3. Amount due with this

Nonprofit corp. (0367)

installment.

Other

Mail to: Massachusetts Department of Revenue,

*New corporations in their first full taxable year with less

PO Box 7067, Boston, MA 02204.

than 10 employees have lower percentages:

30/25/25/20%; 55/25/20% and 80/20%.

Form Ubit-Es - Nonprofit Corp. Estimated Tax Payment Voucher - 2011