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00 00
00 no exception
01/15/15
04/15/14
06/15/14
09/15/14
2013 tax liability See instructions 00
2014 tax liability See instructions 00
5 from Line 8 A positive number indicates an
9 of each column Carryforward amounts
Amount available for period Add Lines 6 and 7
Amount of underpayment (from Line 9 above)
amount on Line 3 by the amount on Line 4
Amount paid for each period See instructions
available
Carryforward Overpayment or
Computation 2014 Taxable Year
Date of Payment See instructions
Enter the smaller of Line 1 or Line 2 00
Exception 1 See worksheet on page 3 If you meet this exception you do not owe an underpayment penalty
Exception 2 Prior Year s Tax Liability 00
Exception 3 Prior Year s Income 00
Exception 4 Annualized Income 00
Exception 5 Installment Period Income 00
from the previous period can be a positive
Name as shown in the order on tax return
No carryforward amount can be
Nonresident and Part Year Resident Filers
Note:
Number of days from due date of installment
Number of payments required for year
number or a negative number
overpayment A negative number indicates an
overpayment Enter the total here and on Form IT 540B Line 46 if you have a balance due
Penalty Add amounts on Line 18 Enter total here and on Form IT 540B Line 31 if you have an
Penalty See instructions
PLEASE PRINT OR TYPE
R 210NR (1/15)
Required payment From Section 1 divide
Section 1 Required Annual Payment
Section 2 Underpayment Computation
Section 3 Exceptions 04/15/08 06/16/08 09/15/08 01/15/09
Section 4 Penalty Computation
See instructions
shown for the first period See instructions
Social Security Number
Spouse s
STOP You do not need to file this form
to Line 7 in next column
underpayment from previous period on Line
underpayment Move the number on this line
Underpayment of Individual Income Tax Penalty
Underpayment or overpayment Subtract Line
Yours
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