The Department of Revenue has instituted a cost-saving procedure to automate the check cashing
process. You can help us maximize savings on processing costs by removing your check stub and by
not stapling or taping your voucher to your check or tax return.
Complete your Form-SB Payment Voucher below if you are remitting a payment. When you fill out your
voucher, please print, using black or blue ink. Please do not type or use dollar signs since this form
will be read by a machine. Please print your numbers in the blocked area of your vouchers like this:
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 last day of the tax year your payment
applies to.
Box 2, if your payment is for estimated tax.
Box 6, is for your federal identification number
Box 3, if your payment is for a extension.
(FEIN).
Box 4, if your payment is for an amended.
Box 7, is the amount of your payment. Round to
the nearest dollar.
Form-SB
Montana Small Business
Please use this voucher to ensure proper
credit of your payment. Also, write your federal
Corporation Tax Payment Voucher
identification number and tax year on your check.
Use black or blue ink to fill out boxes below.
1. Current Year
Name ______________________________
CLEAR FORM
Phone Number ___________________
2. Estimated
5. Period Ending Date
*00100101*
3. Extension
6. FEIN
Department of Revenue
4. Amended
PO Box 8021
7. Amount Paid
Helena, MT 59604-8021
79114030600000000 00009000000000RT
0
NPYM500000000000