US Internal Revenue Service: F1040esn - 2001
US Internal Revenue Service: F1040esn - 2001
b Enter the tax shown on your 2000 tax return (110% of that amount if you are not
a farmer or fisherman and the adjusted gross income shown on line 34 of that
return is more than $150,000 ($75,000 if married filing separately for 2001)) 16b
c Required Annual Payment To Avoid a Penalty. Enter the smaller of line 16a or 16b. 䊳 16c
Caution: If you do not prepay (through income tax withholding and estimated tax payments) at least the amount on line
16c, you may owe a penalty for not paying enough estimated tax. To avoid a penalty, make sure your estimate on line
15c is as accurate as possible. Even if you pay the required annual payment, you may still owe tax when you file your
return. If you prefer, you may pay the amount shown on line 15c. For more details, see Pub. 505.
17 Income tax withheld and estimated to be withheld during 2001 plus any amount paid with Form 1040-C 17
18 Subtract line 17 from line 16c. (Note: If zero or less or line 15c minus line 17 is less than $1,000, stop here.
You are not required to make estimated tax payments.) 18
19 ● If your first payment is due April 16, 2001, enter 1⁄4 of line 18 (minus any 2000 overpayment you are
applying to this installment) here and on your payment voucher(s).
● If you do not have wages subject to U.S. income tax withholding and your first payment is due June
15, 2001, enter 1⁄2 of line 16c on your first voucher and 1⁄4 of line 16c on your second and third vouchers.
Reduce each installment by 1⁄3 of line 17 and any 2000 overpayment you are applying to the installment. 19
Note: If you are not required to file the voucher due April 16 (or June 15), 2001, at this time, you may have to file by a later date.
See Payment Due Dates on page 2.
Tear off here
Form
1040-ES (NR)
Voucher 4
2001 Payment
Department of the Treasury
Internal Revenue Service OMB No. 1545-0087
File only if you are making a payment of estimated tax. Return this voucher with your check or Calendar year—Due Jan. 15, 2002
money order payable to the “United States Treasury.” Write your identifying number and Amount of estimated tax you are
paying by
“2001 Form 1040-ES (NR)” on your check or money order. Do not send cash. Enclose, but do
check or
not staple or attach, your payment with this voucher. money order.
$
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Disclosure and Paperwork Reduction Act Notices, see instructions on page 4.
Form 1040-ES (NR) 2001 Page 4
How To Complete and Use the Payment Voucher 2001 Tax Rate Schedules
There is a separate payment voucher for each due date. The due Caution: Do not use these Tax Rate Schedules to figure your 2000 taxes.
Use only to figure your 2001 estimated taxes.
date is shown in the upper right corner. Please be sure you use
the voucher with the correct due date for each payment you Schedule X—Single
make. To complete the voucher:
If line 5 is: The tax is: of the
● Type or print your name, address, and social security number But not amount
(SSN) in the space provided on the voucher. If you do not have, Over— over— over—
and are not eligible to obtain, an SSN, enter your IRS-issued
individual taxpayer identification number (ITIN). To apply for an $0 $27,050 15% $0
ITIN, get Form W-7, Application for IRS Individual Taxpayer 27,050 65,550 $4,057.50 + 28% 27,050
Identification Number. 65,550 136,750 14,837.50 + 31% 65,550
136,750 297,300 36,909.50 + 36% 136,750
● Enter on the payment line of the voucher only the amount you 297,300 94,707.50 + 39.6% 297,300
are sending. When making payments of estimated tax, be sure
to take into account any 2000 overpayment that you choose to Schedule Y—Married filing separately
credit against your 2001 tax, but do not include the If line 5 is: The tax is: of the
overpayment amount on the payment line. But not amount
● Make your check or money order payable to the “United Over— over— over—
States Treasury.” Do not send cash. To help us process your $0 $22,600 15% $0
payment, enter the amount on the right side of the check like 22,600 54,625 $3,390.00 + 28% 22,600
this: $ XXX.XX. Do not use dashes or lines (for example, do not 54,625 83,225 12,357.00 + 31% 54,625
enter “$ XXX-” or “$ XXX XX ”). 83,225 148,650 21,223.00 + 36% 83,225
100
● Write your identifying number (SSN or ITIN) and “2001 Form 148,650 44,776.00 + 39.6% 148,650
1040-ES (NR)” on your check or money order. Schedule Z—Qualifying widows and widowers
● Enclose, but do not staple or attach, your payment with the If line 5 is: The tax is: of the
voucher. But not amount
● Mail your payment voucher to the Internal Revenue Service, Over— over— over—
P.O. Box 8318, Philadelphia, PA 19162-8318. $0 $45,200 15% $0
● Fill in the Record of Estimated Tax Payments on page 2 for 45,200 109,250 $6,780.00 + 28% 45,200
your files. 109,250 166,450 24,714.00 + 31% 109,250
166,450 297,300 42,446.00 + 36% 166,450
297,300 89,552.00 + 39.6% 297,300
Disclosure and Paperwork Reduction Act Notices. The IRS persons as necessary to obtain information that we cannot get
Restructuring and Reform Act of 1998 requires that we tell you in any other way in order to determine the amount of or to
the conditions under which return information may be disclosed collect the tax you owe. We may disclose your tax information to
to any party outside the Internal Revenue Service. We ask for the Comptroller General of the United States to permit the
the information on this form to carry out the Internal Revenue Comptroller General to review the Internal Revenue Service. We
laws of the United States. You are required to give us the may also disclose your tax information to Committees of
information. We need the information to ensure that you are Congress; Federal, state, and local child support agencies; and
complying with these laws and to allow us to figure and collect to other Federal agencies for purposes of determining
the right amount of tax. entitlement for benefits or the eligibility for and the repayment of
This notice applies to all papers you file with us. It also applies loans.
to any questions we need to ask you so we can complete, Keep this notice with your records. It may help you if we ask
correct, or process your return; figure your tax; and collect tax, you for other information. If you have any questions about the
interest, or penalties. rules for filing and giving information, call or visit any Internal
You are not required to provide the information requested on a Revenue Service office.
form that is subject to the Paperwork Reduction Act unless the The time needed to complete the worksheets and prepare and
form displays a valid OMB control number. Books or records file the payment vouchers will vary depending on individual
relating to a form or its instructions must be retained as long as circumstances. The estimated average time is: Recordkeeping,
their contents may become material in the administration of any 40 min.; Learning about the law, 12 min.; Preparing the
Internal Revenue law. Generally, tax returns and return worksheets and payment vouchers, 59 min.; Copying,
information are confidential, as stated in Internal Revenue Code assembling, and sending the payment voucher to the IRS, 10
section 6103. min. If you have comments concerning the accuracy of these
However, section 6103 allows or requires the Internal Revenue time estimates or suggestions for making this package simpler,
Service to disclose or give the information you write on your tax we would be happy to hear from you. You can e-mail us your
return to others as described in the Code. For example, we may suggestions and comments through the IRS Internet Web Site
disclose your tax information to the Department of Justice, to (www.irs.gov/help/email.html) or write to the Tax Forms
enforce the tax laws, both civil and criminal, and to cities, states, Committee, Western Area Distribution Center, Rancho Cordova,
the District of Columbia, U. S. commonwealths or possessions, CA 95743-0001. Do not send the payment vouchers to this
and certain foreign governments to carry out their tax laws. We address. Instead, see How To Complete and Use the Payment
may disclose your tax information to the Department of Treasury Voucher above.
and contractors for tax administration purposes; and to other
Form
1040-ES (NR)
Voucher 3
2001 Payment
Department of the Treasury
Internal Revenue Service OMB No. 1545-0087
File only if you are making a payment of estimated tax. Return this voucher with your check or Calendar year—Due Sept. 17, 2001
money order payable to the “United States Treasury.” Write your identifying number and Amount of estimated tax you are
paying by
“2001 Form 1040-ES (NR)” on your check or money order. Do not send cash. Enclose, but do check or
not staple or attach, your payment with this voucher. money order. $
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Disclosure and Paperwork Reduction Act Notices, see instructions on page 4.
1040-ES (NR)
Voucher 2
2001 Payment
Department of the Treasury
Internal Revenue Service OMB No. 1545-0087
File only if you are making a payment of estimated tax. Return this voucher with your check or Calendar year—Due June 15, 2001
money order payable to the “United States Treasury.” Write your identifying number and Amount of estimated tax you are
paying by
“2001 Form 1040-ES (NR)” on your check or money order. Do not send cash. Enclose, but do check or
not staple or attach, your payment with this voucher. money order. $
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Disclosure and Paperwork Reduction Act Notices, see instructions on page 4.
1040-ES (NR)
Voucher 1
2001 Payment
Department of the Treasury
Internal Revenue Service OMB No. 1545-0087
File only if you are making a payment of estimated tax. Return this voucher with your check or Calendar year—Due April 16, 2001
money order payable to the “United States Treasury.” Write your identifying number and Amount of estimated tax you are
paying by
“2001 Form 1040-ES (NR)” on your check or money order. Do not send cash. Enclose, but do check or
not staple or attach, your payment with this voucher. money order. $
Your identifying number (SSN or ITIN) (employer identification number for an estate or trust)
City, state, and ZIP code. If a foreign address, enter city, province or state, and country. Include postal code.
For Disclosure and Paperwork Reduction Act Notices, see instructions on page 4.