Form F-1120es - Declaration/installment Of Florida Estimated Income/franchise Tax

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Florida Department of Revenue — Corporate Income Tax
F-1120ES
Rule 12C-1.051
R. 01/13
Declaration/Installment of Florida Estimated Income/Franchise
Florida Administrative Code
Effective 01/13
Tax for Taxable Year Beginning on or After January 1, 2013
Installment
#_____
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
0123456789
(example)
(example)
Write your numbers as shown and enter one number per box.
F-1120ES
FEIN
Taxable
M
M
D
D Y
Y
year end
Name
Estimated tax payment
Address
(See reverse side)
City/St/ZIP
US DOLLARS
CENTS
Check here if you transmitted
Office use
M
M
D
D Y
Y
funds electronically
only
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
Make checks payable to and mail to:
9100 0 20139999 0002005033 7 3999999999 0000 2
Florida Department of Revenue — Corporate Income Tax
F-1120ES
Rule 12C-1.051
R. 01/13
Declaration/Installment of Florida Estimated Income/Franchise
Florida Administrative Code
Effective 01/13
Tax for Taxable Year Beginning on or After January 1, 2013
Installment
#_____
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
0123456789
(example)
(example)
Write your numbers as shown and enter one number per box.
F-1120ES
FEIN
Taxable
M
M
D
D Y
Y
year end
Name
Estimated tax payment
Address
(See reverse side)
City/St/ZIP
US DOLLARS
CENTS
Check here if you transmitted
Office use
M
M
D
D Y
Y
funds electronically
only
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
Make checks payable to and mail to:
9100 0 20139999 0002005033 7 3999999999 0000 2
Florida Department of Revenue — Corporate Income Tax
F-1120ES
Rule 12C-1.051
R. 01/13
Declaration/Installment of Florida Estimated Income/Franchise
Florida Administrative Code
Effective 01/13
Tax for Taxable Year Beginning on or After January 1, 2013
Installment
#_____
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
0123456789
(example)
(example)
Write your numbers as shown and enter one number per box.
F-1120ES
FEIN
Taxable
M
M
D
D Y
Y
year end
Name
Estimated tax payment
Address
(See reverse side)
City/St/ZIP
US DOLLARS
CENTS
Check here if you transmitted
Office use
M
M
D
D Y
Y
funds electronically
only
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
Make checks payable to and mail to:
9100 0 20139999 0002005033 7 3999999999 0000 2

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