Voucher number: Due date:
*120200210002*
2012 D 20ES
2012 D 20ES Declaration of EstimatedFranchise Tax for Corporations
Business mailing address line 1
Business mailing address line 2
Business name
City State Zip Code + 4
DCE006C
Declaration of Estimated Franchise Tax for Corporations
Federal Employer I D Number Tax period ending (MMYY)
Government of the District of Columbia
OFFICIAL USE ONLY
Quarterly payment (dollars only)
This is a FILL IN format Please do not handwrite any data on this form other than your signature
Vendor ID#0002
