Form PW-ES Wisconsin Pass-Through Entity Withholding Estimated Tax Voucher

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

* Indicates a required field.

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*Person to contact regarding payment

*Pass-Through Entity Name

*Telephone Number

*FEIN

OR

SSN(Estates only)

Address

*Street

*State/Province

*City

*ZIP Code

This payment is for tax period:

Calendar year

Fiscal year beginning →

Short taxable year : beginning → ; ending →

Payments are due by the 15th day of the 3rd, 6th, 9th, and 12th months of the taxable year. If an extension is in effect, by the 15th day of the month that includes the unextended due date of the Form PW-1.

*Amount of Payment

State of Wisconsin

Department of Revenue

Form PW-ES Wisconsin Pass-Through Entity Withholding Estimated Tax Voucher

Address

This payment is for tax period: