1040-ES (OCR) Estimated Tax

Version A, Cycle 2
Page size is 8.5" x 13". Perforations: At Top and 3" 6" 9" and 12" from top
PMS color changes every year. Verify PMS color with PS prior to OK-2-P

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

2021
OMB No. 1545-0074

Estimated Tax

▶

Make your check or money order payable to “United States Treasury.”

▶

Enter your SSN and “2021 Form 1040-ES” on your payment.

▶

If your name, address, or SSN is incorrect, see instructions.

Payment
Voucher

1

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

Calendar year—
Due April 15, 2021
Dollars

Cents

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

Pay online at IRS.gov/epay. Simple. Fast. Secure.

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

2021
OMB No. 1545-0074

Estimated Tax

Payment
Voucher

2

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

Calendar year—
Due June 15, 2021
Dollars

Cents

▶

Make your check or money order payable to “United States Treasury.”

▶

Enter your SSN and “2021 Form 1040-ES” on your payment.

▶

INTERNAL USE ONLY
DRAFT AS OF
August
13,
2019
2021
3
Estimated Tax
If your name, address, or SSN is incorrect, see instructions.

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

Pay online at IRS.gov/epay. Simple. Fast. Secure.

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

Calendar year—
Due Sept. 15, 2021

Payment
Voucher

OMB No. 1545-0074

▶

Make your check or money order payable to “United States Treasury.”

▶

Enter your SSN and “2021 Form 1040-ES” on your payment.

▶

If your name, address, or SSN is incorrect, see instructions.

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

Dollars

Cents

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

Pay online at IRS.gov/epay. Simple. Fast. Secure.

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

2021
OMB No. 1545-0074

Estimated Tax

▶

Make your check or money order payable to “United States Treasury.”

▶

Enter your SSN and “2021 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, 2022
Dollars

Cents

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

Pay online at IRS.gov/epay. Simple. Fast. Secure.