NOTE: Please cut each voucher as straight as possible along the dotted line.
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STATE of ARKANSAS
AR1000ES
2013
Estimated Tax for Individuals (Payment With Extension)
(R 12/31/12)
AIRS
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)
04/15/2014
First
MI
Last
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Primary Name
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Spouse Name
Amount
Address
$
of this
Payment
City, State, Zip
Include Cents
Telephone #
(ex. 1,234,567.00)
IITSSN0000000000012312013EXTPYM00000000000000000000000