| "1a. Enter your underpayment from Part IV, Section A, line
25" | 1,288 | 1,684 | 1,684 | 1,684 |
| "1b. Date and amount of each payment applied to the underpayment
in the same column. Do not enter more than the underpayment amount on 1a for
each column (see instructions."Note.
Your payments are applied to an underpayment balance on an earlier installment
until the underpayment is fully paid.
| 6/15 396 and 9/15 892 | 9/15 454 and 1/15 1,230 | 1/15 116 | |
| "Rate Period 1: April 16, 2010–December 31, 2010"
| (shaded area) | (shaded area) | (shaded area) | (shaded area) |
| "2. Computation starting dates for this period" | 4/15/10 | 6/15/10 | 9/15/10 | (shaded area) |
| "3. Number of days
from the date on line 2 to the date on line 1a was paid
or 12/31/10, whichever is earlier"
| Days: 6/15 61; 9/15 153 | Days: 9/15 92; 1/15 199 | Days: 1/15 107; 4/15 107 | (shaded area) |
| "4. Underpayment on line 1a x (Number of days on line 3/365)
x .04" | $2.65/$14.96 | $4.58/$26.82 | $1.36/$18.39 | (shaded area) |
| "Rate Period 2: January 1, 2011––April 15, 2011"
| (shaded area) | (shaded area) | (shaded area) | (shaded area) |
| "5. Computation starting dates for this period" | 12/31/10 | 12/31/10 | 12/31/10 | 1/15/11 |
| "6. Number of days
from the date on line 5 to the date on line 1a was paid
or 4/15/11, whichever is earlier"
| Days: | Days: 0/15 | Days: 15/105 | Days: 90 |
| "7. Underpayment on line 1a x (Number of days on line 6/365)
x .03" | $ | $0/$1.52 | $0.14/$13.53 | $12.46 |
| "8.
Penalty.
Add all amounts on lines 4 and 7 in all columns. Enter the total here and on
line 27 of Part IV, Section B"
| $96.41 |