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ESTIMATED TAX PAYMENT REPORTING FORM
If you make quarterly estimated tax payments, It is very important that we know the dates and amounts of your payments to accurately calculate your 2023 tax return. Please complete the following and provide this form to our office with your tax documents
Please attach a copy of your cancelled checks or complete the following:
FEDERAL PAYMENTS:
DUE 4/15/23 Date: _________________ Amount: ___________________
DUE 6/15/23 Date: _________________ Amount: ___________________
DUE 9/15/23 Date: _________________ Amount: ___________________
DUE 1/15/24 Date: _________________ Amount: ___________________
STATE PAYMENTS:
DUE 7/15/23 Date: _________________ Amount: ___________________
DUE 7/15/23 Date: _________________ Amount: ___________________
DUE 9/15/23 Date: _________________ Amount: ___________________
DUE 1/15/24 ate: _________________ Amount: ___________________
____________________________
Signature