Estimated Payments Record

Record income tax payments made quarterly

Estimated Tax Payments Made
Federal
Prior Year Overpayment Applied
Date Paid Amount Paid
1st Quarter
Date Paid Amount Paid
2nd Quarter
Date Paid Amount Paid
3rd Quarter
Date Paid Amount Paid
4th Quarter
Date Paid Amount Paid
State
State Name
Prior Year Overpayment Applied
Date Paid Amount Paid
1st Quarter
Date Paid Amount Paid
2nd Quarter
Date Paid Amount Paid
3rd Quarter
Date Paid Amount Paid
4th Quarter
Date Paid Amount Paid
If you have an overpayment of taxes, do you want the excess refunded or applied to the next year?
Do you expect a considerable change in your next year’s:
Income
- Yes
- No
If yes, please explain:
Deductions
- Yes
- No
If yes, please explain:
Withholding
- Yes
- No
If yes, please explain:
Filing Status
- Yes
- No
If yes, please explain:
Dependens
- Yes
- No
If yes, please explain:
Section Break
Name
First Last
Email Address
Phone Number
Contact Information
Name
First Last
Email Address
Phone Number
Name
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Estimated Tax Payments Made