Fillable Form 1040-Es - Estimated Tax For Individuals

Record of Estimated Tax Payments (Farmers, fishermen, and fiscal

year taxpayers, see page 3 for payment due dates.)

Keep for Your Records

(d) Amount paid

Payment

(e) 2013

(f) Total amount

(a) Amount

(b) Date

money order number, or

(do not include

due

overpayment

paid and credited

due

paid

credit or debit card

any convenience

date

credit applied

(add (d) and (e))

confirmation number

fee)*

4/15/2014

6/16/2014

9/15/2014

1/15/2015**

Total.

▶

* You can deduct the convenience fee charged by the service provider in 2014 as a miscellaneous itemized deduction (subject to the 2%-of-AGI

limit) on your 2014 income tax return.

** You do not have to make this payment if you file your 2014 tax return by February 2, 2015, and pay the entire balance due with your return.

Privacy Act and Paperwork Reduction Act Notice. We ask for this

We may disclose it to cities, states, the District of Columbia, and U.S.

information to carry out the tax laws of the United States. We need it to

commonwealths or possessions to carry out their tax laws. We may also

figure and collect the right amount of tax. Our legal right to ask for this

disclose this information to other countries under a tax treaty, to federal

information is Internal Revenue Code section 6654, which requires that

and state agencies to enforce federal nontax criminal laws, or to federal

you pay your taxes in a specified manner to avoid being penalized.

law enforcement and intelligence agencies to combat terrorism.

Additionally, sections 6001, 6011, and 6012(a) and their regulations

If you do not file a return, do not give the information asked for, or

require you to file a return or statement for any tax for which you are

give fraudulent information, you may be charged penalties and be

liable; section 6109 requires you to provide your identifying number.

subject to criminal prosecution.

Failure to provide this information, or providing false or fraudulent

Please keep this notice with your records. It may help you if we ask

information, may subject you to penalties.

you for other information. If you have any questions about the rules for

You are not required to provide the information requested on a form

filing and giving information, please call or visit any Internal Revenue

that is subject to the Paperwork Reduction Act unless the form displays

Service office.

a valid OMB control number. Books or records relating to a form or its

The average time and expenses required to complete and file this

instructions must be retained as long as their contents may become

form will vary depending on individual circumstances. For the estimated

material in the administration of any Internal Revenue law. Generally, tax

averages, see the instructions for your income tax return.

returns and return information are confidential, as stated in Code section

6103.

If you have suggestions for making this package simpler, we would be

We may disclose the information to the Department of Justice for civil

happy to hear from you. See the instructions for your income tax return.

and criminal litigation and to other federal agencies, as provided by law.

Tear off here

1040-ES

2014 Estimated Tax

Payment

Department of the Treasury

Voucher

OMB No. 1545-0074

Internal Revenue Service

Calendar year—Due Jan. 15, 2015

File only if you are making a payment of estimated tax by check or money order. Mail this

Amount of estimated tax you are paying

voucher with your check or money order payable to “United States Treasury.” Write your

by check or

social security number and “2014 Form 1040-ES” on your check or money order. Do not send

Dollars

Cents

cash. Enclose, but do not staple or attach, your payment with this voucher.

money order.

Your first name and initial

Your last name

Your social security number

If joint payment, complete for spouse

Spouse’s first name and initial

Spouse’s last name

Spouse’s social security number

Address (number, street, and apt. no.)

City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.)

Foreign postal code

Foreign country name

Foreign province/county

Form 1040-ES (2014)

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

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Form 1040-Es - Estimated Tax For Individuals - 2014 Page 9

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