Form 1120b-Es/me - Maine Estimated Tax Payment Voucher For Financial Institutions - 2012
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1
22012
FORM 1120B-ES/ME
99
MAINE ESTIMATED TAX
FINANCIAL INSTITUTIONS
PAYMENT VOUCHER FOR
VOUCHER 1 - DUE APRIL 17
*1134310*
(or 15th day of the fourth month for fi scal year taxpayers)
Enter beginning and ending dates for the entire tax year (NOT the quarter dates)
If this payment is for a short year period, enter the next fi ling period below
/
/
/
to
/
/
to
/
/
/
,
,
.00
$
Financial Institution Name
Amount of Payment
-
Address
Federal Employer ID Number
Federal Employer ID Number
/
/
City, Town, or Post Offi ce
State
ZIP Code
Date Installment due
Detach this voucher and make check payable to TREASURER STATE OF MAINE.
Mail both to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT SEND PHOTOCOPIES OF FORMS.
2012
FORM 1120B-ES/ME
99
MAINE ESTIMATED TAX
FINANCIAL INSTITUTIONS
PAYMENT VOUCHER FOR
*1134310*
VOUCHER 2 - DUE JUNE 15
(or 15th day of the sixth month for fi scal year taxpayers)
Enter beginning and ending dates for the entire tax year (NOT the quarter dates)
If this payment is for a short year period, enter the next fi ling period below
/
/
/
to
/
/
to
/
/
/
,
,
.00
$
Financial Institution Name
Amount of Payment
-
Address
Federal Employer ID Number
/
/
City, Town, or Post Offi ce
State
ZIP Code
Date Installment due
Detach this voucher and make check payable to TREASURER STATE OF MAINE.
Mail both to: Maine Revenue Services, P.O. Box 9101, Augusta, ME 04332-9101
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT SEND PHOTOCOPIES OF FORMS.
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