Form K-40es - Individual Estimated Income Tax Voucher

Form K-40es - Individual Estimated Income Tax Voucher - 2013 Page 2

NOTE: If any due date falls on a Saturday, Sunday, or legal holiday,

substitute the next regular workday.

K-40ES

2013 KANSAS

FOR OFFICE USE ONLY

Please use UPPER CASE letters

INDIVIDUAL ESTIMATED INCOME

to print the first four letters of

(Rev. 8/12)

TAX VOUCHER

Your last name

Spouse's last name

If married filing joint, include both names and social security numbers (SSNs).

Last Name

Initial

Taxpayer's First Name

Your Social

Initial

Last Name

Spouse's First Name

Security number

Spouse's Social

Security number

Mailing Address (Number and Street, including Rural Route)

Name or

Address

2ND QUARTER PAYMENT DUE

City, Town, or Post Office

State

Zip Code

Change

JUNE 15, 2013

Daytime Phone Number

Write your SSN(s) on your check or money order and make payable to

"Kansas Individual Estimated Tax." Mail to: Estimated Tax, Kansas

PAYMENT

Department of Revenue, 915 SW Harrison St., Topeka KS 66625-2000.

AMOUNT

DO NOT SUBMIT PHOTOCOPIES OF THIS FORM

181013

Form K-40es - Individual Estimated Income Tax Voucher - 2013 Page 2