Montana Department Of Revenue - Individual Income Tax Payment Form printable pdf download

Montana Department Of Revenue - Individual Income Tax Payment Form

Attention

Montana Department of Revenue Cashier

Individual Income Tax Payment Form

Complete the coupon below to ensure proper credit of your payment.

If you are paying

taxes for multiple years, submit a separate check or money order and a separate coupon for

each tax year.

Boxes 1 through 4 - Print an “X” in one box only for the type of payment being remitted:

Box 1, if your payment is for the current year.

Box 5, is the year your payment is for.

Box 2, if your payment is for estimated tax.

Box 6, social security number.

Box 3, if your payment is for a extension payment.

Box 7, amount paid.

Box 4, if your payment is for an amended return.

Name

Address

Phone

Mail this entire form with your check and return to:

Department of Revenue

PO Box 5805

Helena, MT 59604-5805

Questions? Call (406) 444-6900

Make checks payable to the Department of Revenue

Montana Individual Income Tax

Form IT

Payment Form

1. Current Year

month

day

year

2. Estimated Tax

5. Year Ending Date

3. Extension

6. Social Security Number

4. Amended

7. Amount Paid

Montana Department Of Revenue - Individual Income Tax Payment Form