Form 40-Esv - Oregon Estimated Income Tax Payment Voucher - 2013
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1Where to mail
Oregon Estimated Income Tax Payment Voucher, Form 40-ESV
Complete Form 40-ESV and mail with your payment to:
Oregon Department of Revenue
PO Box 14950
Salem OR 97309-0950
Complete the form below using your computer.
After you have printed it, cut along the dotted line and
mail to the Department of Revenue at the address shown above.
Note:
If, when typing, you see a solid box instead of letters or numbers,
adjust the view size to 100 percent. If the letters or numbers still are not visible,
press the tab key.
Clear Form
OREGON ESTIMATED INCOME TAX
FORM
Department of Revenue Use Only
For Tax Year
40-ESV
2013
PAYMENT VOUCHER
•
150-101-026-3 (Rev. 12-12)
3rd Qtr: Due 9/16/13
or Fiscal Year Ending
1st Qtr: Due 4/15/13
4th Qtr: Due 1/15/14
2nd Qtr: Due 6/17/13
Check if:
First time Oregon filer
New name or address
Daytime Telephone Number
Enter Payment Amount
Last name
SSN
First name and initial
$
0 0
.
Spouse’s/RDP’s last name if joint payment
Spouse’s/RDP’s first name and initial
Spouse’s/RDP’s SSN if joint payment
Current mailing address
State
City
ZIP code
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