Individual Estimated Income Tax
80261-0008. Write your Social Security number and “2019 DR 0104EP” on your check or money order. Do not send cash. Enclose, but do not staple or attach, your payment with this form. File only if you are making a payment of estimated tax and are unable to pay online or by EFT. SSN Your Last Name Your First Name Middle Initial Spouse SSN ... ................
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