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Estimated Tax Payment form in Excel format (Excel)

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Estimated Tax Payment form in Excel format (Excel) Powered By Docstoc
					    CIT Payment               Federated States of Micronesia Corporate Income Tax Pay
                               For tax year beginning (mm/dd/yyyy) _____/_____/________, ending (mm/dd/yyyy) _____/_____

Name

Address 

This payment is for (check one): □ 1st installment □ 2nd installment □ Final installment

    1                    Previous year's total tax payment
                  1st
    2         InstallmentTax liability (line 1 X 50%)
    3                    Tax payment amount
    4                    Estimated total tax liability
                 2nd
    5        Installment Tax paid with 1st installment
    6                    Tax payment amount (line4 - line5)
    7                    Total tax liability on return
    8           Final    Tax paid with 1st installment
    9        Installment Tax paid with 2nd installment
    10                   Tax payment amount (line7 - line8 - line9)
    11       Amount paid with this form
 Under penalties of perjury, I declare that I have examined this form and to the best of my knowledge and belief, it is true, correct and


Officer Title                      Name of officer                                   Signature of officer
Information of paid preparer (if any):

Name                                                    Email address                             Telephone


INSTRUCTION OF TAX PAYMENT

Tax payment by direct bank deposit
 If your functional currency is Japanese Yen, deposit the tax payment to below bank account of the FSM gove
            Name of Bank:Mizuho Bank, Ltd
            Account #: 146-1212405
                         FSM
            Account Name: National Government (Corporate Tax)

If your functional currency is other than Japanese Yen, deposit the tax payment to below bank account of the
                        Bank
           Name of Bank: of the Federated States of Micronesia, Pohnpei Branch
                        PO Box
           Address of Bank: 98, Kolonia, Pohnpei, FM 96941
           Account #: 6044197629
                        FSM
           Account Name: Saving Corporate Tax
                        Federated States of Micronesia National Government
           Account Holder:
                        PO Box
           Holder's Address: PS158, Palikir, Pohnpei, FM 96941
           Intermediary Bank Information:
                       First
             Bank Name: Hawaiian Bank
                     PO Box 999, Bishop Street, Honolulu, Hawaii 96813
           Bank Address:
           Service #:8185018
           Routing #:1.21E+08
           Swift #: FHBKUS77XXX

For all tax payers making tax payment by direct bank deposit, you must submit a proof of deposit along with th
            Mr. John Uwas, Department of Treasury
                      jfuwas@yahoo.com
            Email Address:
porate Income Tax Payment
_, ending (mm/dd/yyyy) _____/_____/________

                Incorporation Number

                Functional Currency

 installment




wledge and belief, it is true, correct and complete.


                                                       Date (mm/dd/yyyy)


 Telephone                                  Fax




w bank account of the FSM government




ent to below bank account of the FSM government.
it a proof of deposit along with this form via e-mail to:

				
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posted:9/30/2011
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