1040-ES (OCR) Estimated Tax

Version A, Cycle 3
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Form 1040-ES (OCR)
Department of the Treasury
Internal Revenue Service

2022
OMB No. 1545-0074

Estimated Tax

▶

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

▶

Enter your SSN and “2022 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 18, 2022
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

2022
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, 2022
Dollars

Cents

▶

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

▶

Enter your SSN and “2022 Form 1040-ES” on your payment.

▶

INTERNAL USE ONLY
DRAFT AS OF
JulyEstimated
6, 2021
2022
3
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, 2022

Payment
Voucher

OMB No. 1545-0074

▶

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

▶

Enter your SSN and “2022 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

2022
OMB No. 1545-0074

Estimated Tax

▶

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

▶

Enter your SSN and “2022 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. 17, 2023
Dollars

Cents

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

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