Free 2008 Form A-115 Prepayment Estimated Tax (fillable) - Wisconsin

State of Wisconsin
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DEPARTMENT OF REVENUE
2135 RIMROCK ROAD l MAIL STOP 3-164 l PO BOX 8903 l MADISON WI 53708-8903 FAX (608) 264-6884 l www.revenue.wi.gov

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If you wish to prepay 100% of your 2009 income tax, complete the estimated tax voucher below and mail this entire form postmarked by December 31, 2008 with your prepayment to: Wisconsin Department of Revenue Exceptions Resolutions Unit Mail Stop 3164 PO Box 8903 Madison WI 537088903

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Check this box if you want a "Certificate of Exemption from Withholding," form W200, to give your employer. You will receive 2 copies of this form.
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2009 PREPAYMENT
Last name First name Spouse's last name First name

ESTIMATED TAX
Social security number Social security number

Home address (number and street or rural route)

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City or post office

State

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A-115 (R. 11-08)

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Prepayment Amount

$