Name shown on tax return Social Security Number
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1 2013 tax liability See instructions
11 Exception 2 Prior Year s Tax Liability
12 Exception 3 Prior Year s Income
13 Exception 4 Annualized Income
14 Exception 5 Installment Period Income
15 Amount of underpayment (from Line 9 above)
16 Date of Payment See instructions
17 Number of days from due date of installment
18 Penalty See instructions
2 2012 tax liability See instructions
3 Enter the smaller of Line 1 or Line 2
4 Number of payments required for year
5 from Line 8 A positive number indicates an
6 Amount paid for each period See instructions
8 Amount available for period Add Lines 6 and 7
amount on Line 3 by the amount on Line 4 See
available
can be a positive number or a negative number
Carryforward amounts from the previous period
Carryforward Overpayment or underpayment
Computation 2013 Taxable Year
Exception 1 See worksheet on page 3 If you meet this exception you do not owe an underpayment penalty STOP
from previous period on Line 9 of each column
instructions
Line 7 in next column
no exception
Nonresident Professional Athlete
Note: No carryforward amount can be shown for
overpayment A negative number indicates an
overpayment Print the total here and on Form IT 540B NRA Line 32 if you have a balance due
Penalty Add amounts on Line 18 Print the total here and on Form IT 540B NRA Line 17 if you have an
PLEASE PRINT OR TYPE
R 210NRA (1/14)
Required payment From Section 1 divide
Section 1 Required Annual Payment
Section 2 Underpayment Computation 04/15/13 06/15/13 09/15/13 01/15/14
Section 3 Exceptions
Section 4 Penalty Computation
Spouse s
the first period See instructions
underpayment Move the number on this line to
Underpayment of Individual Income Tax Penalty
Underpayment or overpayment Subtract Line
You do not need to file this form
Yours
