PDF document
- 1 -
2023                         MAIL PAYMENT AND            CITY OF PONTIAC                   VOUCHER NO.         
P-1040-ES                    ESTIMATE FORM TO:           ESTIMATED TAX PAYMENTS                                1 Q
CHECK BOX FOR FISCAL                                     P.O. BOX 530                      FISCAL YEAR - DUE END OF 13TH MONTH 
YEAR BEGINNING IN 2022       DO NOT SEND CASH            EATON RAPIDS, MI 48827-0530       CALENDAR YEAR - DUE APRIL 30, 2023
YOUR SOCIAL SECURITY NUMBER                              SPOUSE’S SOCIAL SECURITY NUMBER   FEDERAL TAX IDENTIFICATION MUMBER
                                                                                           CORPORATON             OR PARTNERSHIP

PLEASE TYPE OR PRIHT LAST NAME, FIRST NAME, AND MIDDLE INITIAL OF TAXPAYER
PROVIDE NAMES OF BOTH SPOUSES IF THIS IS A JOINT PAYMENT                                   CITY OF PONTIAC
(COMPLETE ADDRESS REQUIR3ED)                                                               ESTIMATED TAX PAYMENT
                                                                                           TOTAL ESTIMATED TAX FOR THE YEAR       $ ___________________
                                                                                           OVERPAYMENT FROM LAST YEAR
                                                                                           CREDITED TO THIS YEAR’S TAXES          $ ___________________
                                                                                           AMOUNT OF ENCLOSED PAYMENT             $ ___________________
                                                                                                             CHECK /MONEY ORDER # ____________________
                                                                                           PAYABLE TO: TREASURER, CITY OF PONTIAC
DO NOT WRITE BELOW THIS LINE

2023                         MAIL PAYMENT AND            CITY OF PONTIAC                   VOUCHER NO.         
P-1040-ES                    ESTIMATE FORM TO:           ESTIMATED TAX PAYMENTS                                2 Q
CHECK BOX FOR FISCAL                                     P.O. BOX 530                      FISCAL YEAR - DUE END OF 13TH MONTH
YEAR BEGINNING IN 2022       DO NOT SEND CASH            EATON RAPIDS, MI 48827-0530       CALENDAR YEAR - DUE JUNE 30, 2023
YOUR SOCIAL SECURITY NUMBER                              SPOUSE’S SOCIAL SECURITY NUMBER   FEDERAL TAX IDENTIFICATION MUMBER
                                                                                           CORPORATON             OR PARTNERSHIP

PLEASE TYPE OR PRIHT LAST NAME, FIRST NAME, AND MIDDLE INITIAL OF TAXPAYER
PROVIDE NAMES OF BOTH SPOUSES IF THIS IS A JOINT PAYMENT                                   CITY OF PONTIAC
(COMPLETE ADDRESS REQUIR3ED)                                                               ESTIMATED TAX PAYMENT
                                                                                           TOTAL ESTIMATED TAX FOR THE YEAR       $ ___________________
                                                                                           OVERPAYMENT FROM LAST YEAR
                                                                                           CREDITED TO THIS YEAR’S TAXES          $ ___________________
                                                                                           AMOUNT OF ENCLOSED PAYMENT             $ ___________________
                                                                                                             CHECK /MONEY ORDER # ____________________
                                                                                           PAYABLE TO: TREASURER, CITY OF PONTIAC
DO NOT WRITE BELOW THIS LINE

2023                         MAIL PAYMENT AND            CITY OF PONTIAC                   VOUCHER NO.         
P-1040-ES                    ESTIMATE FORM TO:           ESTIMATED TAX PAYMENTS                                3 Q
CHECK BOX FOR FISCAL                                     P.O. BOX 530                      FISCAL YEAR - DUE END OF 13TH MONTH
YEAR BEGINNING IN 2022       DO NOT SEND CASH            EATON RAPIDS, MI 48827-0530       CALENDAR YEAR - DUE SEPTEMBER 30, 2023
YOUR SOCIAL SECURITY NUMBER                              SPOUSE’S SOCIAL SECURITY NUMBER   FEDERAL TAX IDENTIFICATION MUMBER
                                                                                           CORPORATON             OR PARTNERSHIP

PLEASE TYPE OR PRIHT LAST NAME, FIRST NAME, AND MIDDLE INITIAL OF TAXPAYER
PROVIDE NAMES OF BOTH SPOUSES IF THIS IS A JOINT PAYMENT                                   CITY OF PONTIAC
(COMPLETE ADDRESS REQUIR3ED)                                                               ESTIMATED TAX PAYMENT
                                                                                           TOTAL ESTIMATED TAX FOR THE YEAR       $ ___________________
                                                                                           OVERPAYMENT FROM LAST YEAR
                                                                                           CREDITED TO THIS YEAR’S TAXES          $ ___________________
                                                                                           AMOUNT OF ENCLOSED PAYMENT             $ ___________________
                                                                                                             CHECK /MONEY ORDER # ____________________
                                                                                           PAYABLE TO: TREASURER, CITY OF PONTIAC
DO NOT WRITE BELOW THIS LINE

2023                         MAIL PAYMENT AND            CITY OF PONTIAC                   VOUCHER NO.         
P-1040-ES                    ESTIMATE FORM TO:           ESTIMATED TAX PAYMENTS                                4 Q
CHECK BOX FOR FISCAL                                     P.O. BOX 530                      FISCAL YEAR - DUE END OF 13TH MONTH
YEAR BEGINNING IN 2022       DO NOT SEND CASH            EATON RAPIDS, MI 48827-0530       CALENDAR YEAR - DUE JANUARY 31, 2024
YOUR SOCIAL SECURITY NUMBER                              SPOUSE’S SOCIAL SECURITY NUMBER   FEDERAL TAX IDENTIFICATION MUMBER
                                                                                           CORPORATON             OR PARTNERSHIP

PLEASE TYPE OR PRIHT LAST NAME, FIRST NAME, AND MIDDLE INITIAL OF TAXPAYER
PROVIDE NAMES OF BOTH SPOUSES IF THIS IS A JOINT PAYMENT                                   CITY OF PONTIAC
(COMPLETE ADDRESS REQUIR3ED)                                                               ESTIMATED TAX PAYMENT
                                                                                           TOTAL ESTIMATED TAX FOR THE YEAR       $ ___________________
                                                                                           OVERPAYMENT FROM LAST YEAR
                                                                                           CREDITED TO THIS YEAR’S TAXES          $ ___________________
                                                                                           AMOUNT OF ENCLOSED PAYMENT             $ ___________________
                                                                                                             CHECK /MONEY ORDER # ____________________
                                                                                           PAYABLE TO: TREASURER, CITY OF PONTIAC
DO NOT WRITE BELOW THIS LINE






PDF file checksum: 1312474811

(Plugin #1/9.12/13.0)