EFTPS - Federal Tax

Taxpayer Name:    
Taxpayer Employer ID No.:  
Amount1: Subcategory1:
Amount2: Subcategory2:
Amount3: Subcategory3:
     
TotalAmount to Pay:
ZeroTaxDue
Recieving BankID: TaxPeriodEnd Date:
Receiving BankAcct.No.: Tax Type Code:
   
LastPaymentDate: Create Prenote:
Hold Transfer: PrenoteDate: