L-1040ES                                                                   LANSING                                                    2021  EST 01Q
                                                        ESTIMATED INCOME TAX PAYMENT VOUCHER 
                                                        FIRST QUARTER - PAYMENT DUE APRIL 30, 2021

Taxpayer Name:

Social Security No:

Due on or Before:                         4/30/2021, for tax year 2021*

Payment:                                  $
                                          Make payment by check or money order payable to "City of Lansing." Write your social security number, 
Payment Method:                           daytime phone number, and "2021 L-1040ES" on your check or money order. DO NOT SEND CASH. To pay 
                                          by credit card or direct debit, see income tax website of the City of Lansing. Not all  
                                          cities accept credit card or direct debit payments.  

                                          The spouse of the joint filing taxpayer may use this payment voucher to make estimated income tax 
Additional Information:                   payments under his or her own social security number by listing their name and social security number as the 
                                          taxpayer on this payment voucher.

Address for Payment:                      City of Lansing Income Tax Department
                                          PO Box 40756 
                                          Lansing, MI  48901

* Due Date If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

         KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR 
                                                                       PAYMENT v   DETACH HERE  v                                     Revised: 12/8/20
                                                                                                                                      Revised: 12/8/20
                                                                           LANSING
L-1040ES                                   FIRST QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                         2021  EST 01Q
                                                                      Mail To: Lansing Income Tax Department
                                                                       PO Box 40756
NACTP #                                                                Lansing, MI 48901
EFIN #                                                                 ESTIMATED PAYMENT VOUCHER 1                                    Due Date:  04/30/2021
Taxpayer's first name, initial, last name                              Taxpayer's SSN

If joint return spouse's first name, initial, last name                If joint payment, spouse's SSN

Present home address (Number and street)                      Apt. no. {2D Barcode of scan line data}

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                               State Zip code

Foreign country name, province/county, postal code                     Amount of estimated tax you are paying by check or money order Round to nearest dollar
                                                                                                                                                             .00

L-1040ES                                                                LANSING                                                       2021 EST 02Q
                                                        ESTIMATED INCOME TAX PAYMENT VOUCHER SECOND 
                                                              QUARTER - PAYMENT DUE JUNE 30, 2021

Taxpayer Name:

Social Security No:

Due on or Before:                         6/30/2021, for tax year 2021*

Payment:                                  $

Payment Method:                           Make payment by check or money order payable to "City of Lansing." Write your social security number, 
                                          daytime phone number, and "2021 L-1040ES" on your check or money order. DO NOT SEND CASH. To 
                                          pay by credit card or direct debit, see income tax website of the City of Lansing. Not all  
                                          cities accept credit card or direct debit payments.  

Additional Information:                   The spouse of the joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under  his or her own social security number by listing their name and social security number as 
                                          the taxpayer on    this payment   voucher.

Address for Payment:                      City of Lansing Income Tax Department
                                          PO Box 40756 
                                          Lansing, MI  48901

* Due Date If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                      Revised: 12/8/20
        KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                       v   DETACH HERE  v
                                                                        LANSING                                                       Revised: 12/8/20
L-1040ES                                   SECOND QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                        2021  EST 02Q
                                                                      Mail To: Lansing Income Tax Department
                                                                        PO Box 40756
NACTP #                                                                 Lansing, MI 48901
EFIN #                                                                 ESTIMATED PAYMENT VOUCHER 2                                    Due Date:  06/30/2021
Taxpayer's first name, initial, last name                              Taxpayer's SSN

If joint return spouse's first name, initial, last name                If joint payment, spouse's SSN

Present home address (Number and street)                      Apt. no. {2D Barcode of scan line data}

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                               State Zip code

Foreign country name, province/county, postal code                     Amount of estimated tax you are paying by check or money order Round to nearest dollar
                                                                                                                                                             .00

L-1040ES                                                                LANSING                                                       2021  EST 03Q
                                                        ESTIMATED INCOME TAX PAYMENT VOUCHER
                                           THIRD QUARTER - PAYMENT DUE SEPTEMBER 30, 2021

Taxpayer Name:

Social Security No:

Due on or Before:                         9/30/2021, for tax year 2021*

Payment:                                  $

Payment Method:                           Make payment by check or money order payable to "City of Lansing." Write your social security number, 
                                          daytime phone number, and "2021 L-1040ES" on your check or money order. DO NOT SEND CASH. To 
                                          pay by credit card or direct debit, see income tax website of the City of Lansing. Not all  
                                          cities accept credit card or direct debit payments.  

Additional Information:                   The spouse of the joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number as 
                                          the taxpayer on this   payment   voucher. 

Address for Payment:                      City of Lansing Income Tax Department
                                          PO Box 40756 
                                          Lansing, MI  48901

* Due Date If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                      Revised: 12/8/20
        KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                       v   DETACH HERE  v
                                                                                                                                      Revised: 12/8/20
                                                                        LANSING 
L-1040ES                                   THIRD QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                         2021  EST 03Q
                                                              Mail To: Lansing Income Tax Department
                                                                        PO Box 40756
NACTP #                                                                Lansing, MI 48901
EFIN #                                                                 ESTIMATED PAYMENT VOUCHER 3                                    Due Date:  09/30/2021
Taxpayer's first name, initial, last name                              Taxpayer's SSN

If joint return spouse's first name, initial, last name                If joint payment, spouse's SSN

Present home address (Number and street)                      Apt. no. {2D Barcode of scan line data}

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                               State Zip code

Foreign country name, province/county, postal code                     Amount of estimated tax you are paying by check or money order Round to nearest dollar
                                                                                                                                                             .00

L-1040ES                                                                LANSING                                                       2021  EST 04Q
                                                        ESTIMATED INCOME TAX PAYMENT VOUCHER FOURTH 
                                                              QUARTER - PAYMENT DUE JANUARY 31, 2022

Taxpayer Name:

Social Security No:

Due on or Before:                         1/31/2022, for tax year 2021*

Payment:                                  $

Payment Method:                           Make payment by check or money order payable to "City of Lansing." Write your social security number, 
                                          daytime phone number, and "2021 L-1040ES" on your check or money order. DO NOT SEND CASH. To 
                                          pay by credit card or direct debit, see income tax website of the City of Lansing. Not all  
                                          cities accept credit card or direct debit payments.  

Additional Information:                   The spouse of the joint filing taxpayer may use this payment voucher to make estimated income tax 
                                          payments under his or her own social security number by listing their name and social security number as 
                                          the taxpayer on this payment   voucher.

Address for Payment:                      City of Lansing Income Tax Department
                                          PO Box 40756 
                                          Lansing, MI  48901

* Due Date If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

                                                                                                                                      Revised: 12/8/20
        KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                       v   DETACH HERE  v
                                                                                                                                      Revised: 12/8/20
                                                                        LANSING
L-1040ES                                   FOURTH QUARTER ESTIMATED INCOME TAX PAYMENT VOUCHER                                        2021 EST 04Q
                                                                      Mail To: Lansing Income Tax Department
NACTP #                                                                 PO Box 40756 
                                                                        Lansing, MI 48901
EFIN #                                                                                                                                Due Date:  01/31/2022
Taxpayer's first name, initial, last name                              Taxpayer's SSN

If joint return spouse's first name, initial, last name                If joint payment, spouse's SSN

Present home address (Number and street)                      Apt. no. {2D Barcode of scan line data}

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                               State Zip code

Foreign country name, province/county, postal code                     Amount of estimated tax you are paying by check or money order Round to nearest dollar
                                                                                                                                                             .00