Estimated Taxes

Estimated Taxes and Other Taxes Paid
Name:
EMail Address:
		Federal			State
		Date Due	Date Paid	Amount	Date Paid	Amount
1.	Applied from Prior Year’s Refund
2.	First quarter estimated tax
3.	Second quarter estimated tax
4.	Third quarter estimated tax
5.	Fourth quarter estimated tax
6.	Other tax payments
7.	Prior year’s state fourth quarter est tax payment (paid in current year)
8.	Prior year’s state tax payment paid with extention/return