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NJ
                                                                                  New Jersey Gross Income Tax
    1040-ES
                                                                          Declaration of Estimated Tax–VOUCHER 2009
      2009
                                    1 - OFFICIAL USE ONLY
                                                                            YOUR SOCIAL SECURITY NUMBER                            SPOUSE/CIVIL UNION PARTNER
        Calendar Year - Due            Voucher                                                                                      SOCIAL SECURITY NUMBER
        APRIL 15, 2009                   1
                                                                                        /         /                                             /        /
                                                                          Be sure to include your social security number on your check or money order to ensure
LAST NAME, FIRST NAME AND INITIAL
                                                                          proper credit for this payment
STREET ADDRESS
                                                                          If you are married/civil union couple, filing jointly, be sure that the social security
                                                                          number which is first on this payment voucher is the social security number on your
CITY, STATE ZIP CODE
                                                                          check and is listed first when filing your income tax return.
                                                                          Indicate the return for which payment is being made by
                                                                          checking the appropriate box:
                                                                                                                   NJ-1040NR
                                      State of NJ–Div. of Taxation   R                                N                                F
         Make Checks Payable To:                                                    NJ-1040                                                           NJ-1041
                                                                                                                   NJ-1080C
                                      Revenue Processing Center      06                               16                               26
                                      PO Box 222
                                                                               AMOUNT OF
                                                                                                      $,                     ,
                                      Trenton, NJ 08646-0222
                                                                                                                                            .
                                                                               THIS PAYMENT

                                      01209000000000000000000912000000000000
NJ
                                                                                  New Jersey Gross Income Tax
    1040-ES
                                                                          Declaration of Estimated Tax–VOUCHER 2009
      2009
                                    1 - OFFICIAL USE ONLY
                                                                            YOUR SOCIAL SECURITY NUMBER                            SPOUSE/CIVIL UNION PARTNER
        Calendar Year - Due            Voucher                                                                                      SOCIAL SECURITY NUMBER
        JUNE 15, 2009                    2
                                                                                        /         /                                             /        /
                                                                          Be sure to include your social security number on your check or money order to ensure
LAST NAME, FIRST NAME AND INITIAL
                                                                          proper credit for this payment
STREET ADDRESS
                                                                          If you are married/civil union couple, filing jointly, be sure that the social security
                                                                          number which is first on this payment voucher is the social security number on your
CITY, STATE ZIP CODE
                                                                          check and is listed first when filing your income tax return.
                                                                          Indicate the return for which payment is being made by
                                                                          checking the appropriate box:
                                                                                                                   NJ-1040NR
                                      State of NJ–Div. of Taxation   R                                N                                F
         Make Checks Payable To:                                                    NJ-1040                                                           NJ-1041
                                                                                                                   NJ-1080C
                                      Revenue Processing Center      06                               16                               26
                                      PO Box 222
                                                                               AMOUNT OF
                                                                                                      $,                     ,
                                      Trenton, NJ 08646-0222
                                                                                                                                            .
                                                                               THIS PAYMENT

                                      01209000000000000000000912000000000000
NJ
                                                                                  New Jersey Gross Income Tax
    1040-ES
                                                                          Declaration of Estimated Tax–VOUCHER 2009
      2009
                                    1 - OFFICIAL USE ONLY
                                                                            YOUR SOCIAL SECURITY NUMBER                            SPOUSE/CIVIL UNION PARTNER
        Calendar Year - Due            Voucher                                                                                      SOCIAL SECURITY NUMBER
    SEPTEMBER 15, 2009                   3
                                                                                        /         /                                             /        /
                                                                          Be sure to include your social security number on your check or money order to ensure
LAST NAME, FIRST NAME AND INITIAL
                                                                          proper credit for this payment
STREET ADDRESS
                                                                          If you are married/civil union couple, filing jointly, be sure that the social security
                                                                          number which is first on this payment voucher is the social security number on your
CITY, STATE ZIP CODE
                                                                          check and is listed first when filing your income tax return.
                                                                          Indicate the return for which payment is being made by
                                                                          checking the appropriate box:
                                                                                                                   NJ-1040NR
                                      State of NJ–Div. of Taxation   R                                N                                F
         Make Checks Payable To:                                                    NJ-1040                                                           NJ-1041
                                                                                                                   NJ-1080C
                                      Revenue Processing Center      06                               16                               26
                                      PO Box 222
                                                                               AMOUNT OF
                                                                                                      $,                     ,
                                      Trenton, NJ 08646-0222
                                                                                                                                            .
                                                                               THIS PAYMENT

                                      01209000000000000000000912000000000000
NJ
                                                                                  New Jersey Gross Income Tax
    1040-ES
                                                                          Declaration of Estimated Tax–VOUCHER 2009
      2009
                                    1 - OFFICIAL USE ONLY
                                                                            YOUR SOCIAL SECURITY NUMBER                            SPOUSE/CIVIL UNION PARTNER
        Calendar Year - Due            Voucher                                                                                      SOCIAL SECURITY NUMBER
     JANUARY 15, 2010                    4
                                                                                        /         /                                             /        /
                                                                          Be sure to include your social security number on your check or money order to ensure
LAST NAME, FIRST NAME AND INITIAL
                                                                          proper credit for this payment
STREET ADDRESS
                                                                          If you are married/civil union couple, filing jointly, be sure that the social security
                                                                          number which is first on this payment voucher is the social security number on your
CITY, STATE ZIP CODE
                                                                          check and is listed first when filing your income tax return.
                                                                          Indicate the return for which payment is being made by
                                                                          checking the appropriate box:
                                                                                                                   NJ-1040NR
                                      State of NJ–Div. of Taxation   R                                N                                F
         Make Checks Payable To:                                                    NJ-1040                                                           NJ-1041
                                                                                                                   NJ-1080C
                                      Revenue Processing Center      06                               16                               26
                                      PO Box 222
                                                                               AMOUNT OF
                                                                                                      $,                     ,
                                      Trenton, NJ 08646-0222
                                                                                                                                            .
                                                                               THIS PAYMENT

                                      01209000000000000000000912000000000000

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  • 2. NJ New Jersey Gross Income Tax 1040-ES Declaration of Estimated Tax–VOUCHER 2009 2009 1 - OFFICIAL USE ONLY YOUR SOCIAL SECURITY NUMBER SPOUSE/CIVIL UNION PARTNER Calendar Year - Due Voucher SOCIAL SECURITY NUMBER JUNE 15, 2009 2 / / / / Be sure to include your social security number on your check or money order to ensure LAST NAME, FIRST NAME AND INITIAL proper credit for this payment STREET ADDRESS If you are married/civil union couple, filing jointly, be sure that the social security number which is first on this payment voucher is the social security number on your CITY, STATE ZIP CODE check and is listed first when filing your income tax return. Indicate the return for which payment is being made by checking the appropriate box: NJ-1040NR State of NJ–Div. of Taxation R N F Make Checks Payable To: NJ-1040 NJ-1041 NJ-1080C Revenue Processing Center 06 16 26 PO Box 222 AMOUNT OF $, , Trenton, NJ 08646-0222 . THIS PAYMENT 01209000000000000000000912000000000000
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