Estimated Tax Declaration Vouchers And Instructions - 2013 Page 6

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NOTE: Please cut each voucher as straight as possible along the dotted line.
You must cut along the dotted line or the processing of your payment will be delayed.
STATE of ARKANSAS
AR1000ES
2013
Estimated Tax for Individuals (Payment With Extension)
(R 12/31/12)
Calendar Year 2013 or
Voucher
Fiscal Year Ending ________________
5
(MM/DD/YYYY)
Your Social Security Number
Spouse’s Social Security Number
Due Date
(if applicable)
First
MI
Last
Click Here to Print Vouchers
Primary Name
Click Here to Clear Voucher Information
Spouse Name
Amount
Address
$
of this
Payment
City, State, Zip
Include Cents
Telephone #
(ex. 1,234,567.00)

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