Form D-41es - Estimated Payment For Fiduciary Income Tax - 2013

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*130410710002*
2013
D-41ES Estimated Payment for
Government of the
District of Columbia
Fiduciary Income Tax
This is a FILL-IN format. Please do not handwrite any data on this form other than your signature.
Quarterly payment
$
.00
(dollars only)
OFFICIAL USE ONLY
Estate or trust’s federal employer ID number
Estate or trust’s social security number
Vendor ID#0002
Estate or trust name
Tax period ending (MMYY)
Fiduciary’s name and title
Fiduciary’s address (number, street and apartment/suite #, if applicable)
City
State
Zip Code + 4
Voucher number:
Due date:
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2013 D-41ES
Rev. 09/12
Estimated Payment for Fiduciary Income Tax

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