Form 1-ES Wisconsin Estimated Income Tax Interactive Voucher

(Go to www.revenue.wi.gov/pay for electronic payment options)

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Taxpayer

*Last Name

*First Name

*Taxpayer SSN/ITIN

Last Name

First Name

Spouse SSN/ITIN

*Street

*State/Province

*City

*ZIP Code

*Telephone Number

Calendar year

Fiscal year ending

Check this box if you have a new address, and you did not provide it on a prior payment voucher

Trust (Enter FEIN as your social security number)

Estate (Enter decedent's social security number)

Individual

Joint

*Amount of Payment