PA-40 ESR (F/C) - Declaration of Estimated Tax for Fiduciaries and Partnerships
PA-40ESR (F/C) (04-14)
TAX YEAR MMDD Y Y Y Y
EMPLOYER IDENTIFICATION NUMBER
DAYTIME TELEPHONE NUMBER
FIDUCIARY / PARTNERSHIP NAME
P.O. BOX, APT. NO., SUITE, FLOOR, RR NO., ETC.
STREET ADDRESS
NAME continued
DATE
FILED:
CITY STATE ZIP CODE
DECLARATION OF ESTIMATED TAX
OR ESTIMATED WITHHOLDING TAX
FOR FIDUCIARIES, PARTNERSHIPS &
OTHER PASS THROUGH ENTITIES
MMDD Y Y Y Y
BEGINNING
MMDD Y Y Y Y
DEPARTMENT USE ONLY
ENDING
AMOUNT OF PAYMENT
$
ss
,,
.
DECLARATION OF ESTIMATED TAX
OR ESTIMATED WITHHOLDING TAX
ss
,,
.
READ INSTRUCTIONS BEFORE ENTERING
DOLLAR AMOUNTS.
MAKE CHECKS PAYABLE TO
PA DEPARTMENT OF REVENUE
MAIL THIS FORM WITH YOUR PAYMENT TO:
PA DEPARTMENT OF REVENUE
PO BOX 280403
HARRISBURG PA 17128-0403
MUST MARK (FILL IN OVAL)
TYPE OF ACCOUNT:
F – FIDUCIARY (ESTATE or TRUST)
C – (PARTNERSHIP, ASSOCIATION
or PA S CORPORATION)
FISCAL FILERS ONLY
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