Form D-40ES Fillable 2016 Estimated Payment for Individual Income Tax
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(BUSINESS NAME) (City) (Clear form for next client) Clear (Date payment due) (dollars only) $ 002016 D 40ES (Federal Employer Identification Number) (Mailing Address line 1) (Mailing Address line 2) (PAYMENT) (Postal zipcode PLUS 4) (Postal zipcode) (Print for for processing) Print (State) (Tax Period Ending) (text) (VOUCHER Number) *160400310002* Address (number street and suite/apartment number if applicable) City State Zip Code + 4 D 40ES Estimated Payment for data on this form other than your signature DCE007I District of Columbia Estimated Payment for Individual Income Tax Government of the Individual Income Tax OFFICIAL USE ONLY Quarterly payment Spouse s/registered domestic partner s first name M I Last name Tax period ending (MMYY) This is a FILL IN format Please do not handwrite any Vendor ID#0002 Voucher number: Due date: Your first name M I Last name Your social security number (SSN) Spouse s/registered domestic partner s SSN