Form F-1120ES Declaration/Installment of Florida Estimated Income/Franchise Tax for Taxable Year Beginning on or After January 1, 2013 R.01/13

Contact person for questions: Contact person for questions: Income/Franchise Tax Income/Franchise Tax Phone number: ( ) Phone number: ( ) (example) (example) (example) (See reverse side) (See reverse side) 0123456789 0123456789 0123456789 1 Amount of this installment 1 Amount of this installment 1 Who must make estimated tax payments Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 Florida Statutes must declare estimated tax for the taxable year if the amount of income tax liability for the year will be more than $2 500 1 Who must make estimated tax payments Every domestic or foreign corporation or other entity subject to taxation under the provisions of Chapter 220 Florida Statutes must declare estimated tax for the taxable year if the amount of income tax liability for the year will be more than $2 500 2 Amount of overpayment from last year for credit to estimated tax and applied to this installment 2 Amount of overpayment from last year for credit to estimated tax and applied to this installment 2 Due Date The payment for June 2013 is due on or before June 28 2013 Generally estimated tax must be paid on or before the last day of the 4th 6th and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment 2 Due Date The payment for June 2013 is due on or before June 28 2013 Generally estimated tax must be paid on or before the last day of the 4th 6th and 9th month of the taxable year and the last day of the taxable year; 25 percent of the estimated tax must be paid with each installment 3 Amended Declaration To prepare an amended declaration write Amended on Florida Form F 1120ES and complete Lines 1 through 3 of the correct installment You may file an amendment during any interval between installment dates prescribed for the taxable year You must timely pay any increase in the estimated tax 3 Amended Declaration To prepare an amended declaration write Amended on Florida Form F 1120ES and complete Lines 1 through 3 of the correct installment You may file an amendment during any interval between installment dates prescribed for the taxable year You must timely pay any increase in the estimated tax 3 Amount of this payment (Line 1 minus Line 2) 3 Amount of this payment (Line 1 minus Line 2) 4 Interest and Penalties If you fail to comply with the law about filing a declaration or paying estimated tax you will be assessed interest and penalties 4 Interest and Penalties If you fail to comply with the law about filing a declaration or paying estimated tax you will be assessed interest and penalties 9100 0 20139999 0002005033 7 3999999999 0000 2 9100 0 20139999 0002005033 7 3999999999 0000 2 Address Address Check here if you transmitted funds electronically Check here if you transmitted funds electronically City/St/ZIP City/St/ZIP Declaration/Installment of Florida Estimated Income/Franchise Declaration/Installment of Florida Estimated Income/Franchise Effective 01/13 Effective 01/13 Estimated tax payment Estimated tax payment Estimated Tax Payment F 1120ES F 1120ES F 1120ES F 1120ES Florida Administrative Code Florida Administrative Code Florida Department of Revenue Corporate Income Tax Florida Department of Revenue Corporate Income Tax If typing type through the boxes If typing type through the boxes Information for Filing Florida Form F 1120ES Information for Filing Florida Form F 1120ES Installment # Installment # Make checks payable to and mail to: Florida Department of Revenue 5050 W Tennessee St Tallahassee FL 32399 0135 Make checks payable to and mail to: Florida Department of Revenue 5050 W Tennessee St Tallahassee FL 32399 0135 Office use only Office use only R 01/13 R 01/13 R 01/13 Rule 12C 1 051 Rule 12C 1 051 Tax for Taxable Year Beginning on or After January 1 2013 Tax for Taxable Year Beginning on or After January 1 2013 Taxable year end Taxable year end To file online go to www myflorida com/dor To file online go to www myflorida com/dor Transfer the amount on Line 3 to Estimated tax payment box on front Transfer the amount on Line 3 to Estimated tax payment box on front US DOLLARS CENTS US DOLLARS CENTS Write your numbers as shown and enter one number per box Write your numbers as shown and enter one number per box You must write within the boxes You must write within the boxes