PDF document
- 1 -

Enlarge image
                                                                          DO NOT WRITE OR STAPLE IN THIS AREA
        DELAWARE                DECLARATION OF ESTIMATED
        FORM 400-EX                 FIDUCIARY INCOME TAX
                                                                          Reset Print Form
     5E RETURN WITH INSTALLMENT DUE:          APRIL 30, 2024
                                                                                                                         REV CODE 0007-25
FILE THIS FORM ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
EMPLOYER IDENTIFICATION NUMBER:                                                                                          20        3
                                                                                AMOUNT OF THIS INSTALLMENT:
TRUST NUMBER:                                 FISCAL YEAR END DATE 
                                              (Fiscal Year Filers Only):
                                                                          PLEASE WRITE THE TRUST’S OR ESTATE’S EIN 
NAME OF TRUST OR ESTATE:                                                        AND FORM 400-ES ON YOUR CHECK OR 
NAME OF FIDUCIARY:                                                              MONEY ORDER.
                                                                                MAKE CHECK PAYABLE AND MAIL TO: 
TITLE OF FIDUCIARY:                                                             DELAWARE DIVISION OF REVENUE
                                                                                P.O. BOX 2044, WILMINGTON, DE 19899-2044
P.O. BOX OR STREET ADDRESS:
CITY                                               STATE      ZIP CODE  - *DF65119019999*
     I REQUEST AN AUTOMATIC EXTENSION OF TIME TO FILE DE FORM 400               DF65119019999
     TO OCTOBER 15, 202 4(OR FISCAL YEAR, FROM
     TO                      FOR THE TAX YEAR ENDING:
                                                                        SIGNATURE OF FIDUCIARY OFFICER OR REPRESENTATIVE       DATE






PDF file checksum: 3671276351

(Plugin #1/9.12/13.0)