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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
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