Form K-40es - Kansas Individual Estimated Income Tax Voucher - 2014 Page 6
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K-40ES
2014 KANSAS
FOR OFFICE USE ONLY
Please use UPPER CASE letters
INDIVIDUAL ESTIMATED INCOME
to print the first four letters of
(Rev. 8/13)
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
4TH QUARTER PAYMENT DUE
4
City, Town, or Post Office
State
Zip Code
Change
JANUARY 15, 2015
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 66612-1588.
AMOUNT
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
181014
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