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-CT 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 tentative tax.
(FEIN).
Box 4, if your payment is for an amended.
Box 7, is the amount of your payment. Round to
the nearest dollar.
Form-CT
Montana_Corporation_License_
Please_use_this_voucher_to_ensure_proper_
credit_of_your_payment._Also,_write_your_federal_
Tax_Payment_Voucher
identification_number_and_tax_year_on_your_check.
Use_black_or_blue_ink_to_fill_out_boxes_below.
X
1._ Current_Year
Name_ _ _____________________________
CLEAR FORM
Telephone_#______________________
X
2._ Estimated
12312007
5._ Period_Ending_Date
*00090101*
X
3._ Tentative
123456789
6._ FEIN
Department_of_Revenue
X
4._ Amended
PO_Box_8021
12345678.90
7._ Amount_Paid
Helena,_MT_59604-8021
78114030600000000000001000000000RTNPYM500000000000