1040 ES (OCR) Payment Voucher

2010 Form 1040-ES (OCR) Vouchers
Estimated Tax Payment Voucher

Purpose:

This is the first circulated draft of the 2010 Form 1040-ES (OCR),
Estimated Tax Payment Voucher, for your review and comments. The
major changes are shown at the bottom of this page.

TPCC Meeting:

None, but may be arranged if requested.

Prior Revisions:

The 2009 version of Form 1040-ES (OCR), cannot be accessed online.
However, a copy can be provided upon request to the TLS shown
below.

Other Products:

Circulations of draft forms, instructions, notices, and publications are
posted at: http://taxforms.web.irs.gov/Circulations/draft_products.htm

Comments:

Please e-mail, fax, call, or mail any comments by May 18, 2009.

Major Changes for
2010 Form 1040-ES (OCR) Vouchers
Estimated Tax Payment Voucher
The payment due dates have been revised. IRC 6654(C)(2) and IRC 7503
All year references have been updated. SE:W:CAR:MP:T:I:F

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Date

I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 1040-ES (OCR) Voucher, PAGE 1 OF 2 (PAGE 2 IS BLANK)
MARGINS; TOP 76mm (3"), CENTER SIDES.
PRINTS: HEAD TO HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK AND PMS 148 (ORANGE)
FLAT SIZE: 203mm (8") x 381mm (15")
PERFORATE: AT TOP, AND 3", 6", 9" AND 12" FROM TOP
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form 1040-ES (OCR)
Department of the Treasury
Internal Revenue Service
䊳
䊳
䊳

2010

OMB No. 1545-0074

Estimated Tax

Make your check or money order payable to “United States Treasury.”
Enter your SSN and “2010 Form 1040-ES” on your payment.
If your name, address, or SSN is incorrect, see instructions.

Date

Signature

O.K. to print
T:FP:F
O.K. to print
Responsible
scan organization
Revised proofs
requested

Payment
Voucher

1

Amount of estimated tax you are
paying by check or money order.

Calendar year—
Due April 15, 2010
Dollars

Cents

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Form 1040-ES (OCR)
Department of the Treasury
Internal Revenue Service
䊳
䊳
䊳

2010
OMB No. 1545-0074

Estimated Tax

Make your check or money order payable to “United States Treasury.”
Enter your SSN and “2010 Form 1040-ES” on your payment.
If your name, address, or SSN is incorrect, see instructions.

Payment
Voucher

2

Amount of estimated tax you are
paying by check or money order.

Calendar year—
Due June 15, 2010
Dollars

Cents

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Form 1040-ES (OCR)
Department of the Treasury
Internal Revenue Service
䊳
䊳
䊳

2010

OMB No. 1545-0074

Estimated Tax

Make your check or money order payable to “United States Treasury.”
Enter your SSN and “2010 Form 1040-ES” on your payment.
If your name, address, or SSN is incorrect, see instructions.

Payment
Voucher

3

Amount of estimated tax you are
paying by check or money order.

Calendar year—
Due Sept. 15, 2010
Dollars

Cents

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Form 1040-ES (OCR)
Department of the Treasury
Internal Revenue Service
䊳
䊳
䊳

2010

OMB No. 1545-0074

Estimated Tax

Make your check or money order payable to “United States Treasury.”
Enter your SSN and “2010 Form 1040-ES” on your payment.
If your name, address, or SSN is incorrect, see instructions.

Payment
Voucher

4

Amount of estimated tax you are
paying by check or money order.

Cat. No. 61900V

Calendar year—
Due Jan. 18, 2011
Dollars

Cents

For Privacy Act and Paperwork Reduction Act Notice, see instructions.