Form Mo-1040v - Individual Income Tax Payment Voucher

MISSOURI DEPARTMENT OF REVENUE

INDIVIDUAL INCOME TAX

PAYMENT VOUCHER INSTRUCTIONS

What Is Form MO-1040V and Why Should I Use It?

Line 4 — If you are filing a combined return, enter on Line 4 your

Form MO-1040V, Individual Income Tax Payment Voucher, is the vouch-

spouse’s social security number (SSN).

er you send with your payment when you have an amount due on your

Line 5 — Enter the first four letters of your spouse’s last name on Line

electronically filed or telefiled income tax return. It is similar to vouchers

5. See examples for Line 3.

returned with loan, utility and credit card payments. Form

Line 6 — Enter the amount of your payment in whole dollars on Line 6.

MO-1040V ensures that your payment will be processed more efficient-

ly and accurately. In addition, Form MO-1040V allows you to file your

How Do I Make My Payment?

completed income tax return and send your payment at a later date. Your

• Make your check or money order payable to the “Missouri Director of

income tax return and payment are due no later than April 16, 2001.

Revenue”. Do not send cash or stamps (U.S. funds only). Do not

postdate your check, it will be cashed upon receipt.

When Should I Use Form MO-1040V?

If you have an amount due on a telefiled or electronically filed return, you

• Write your name, address, SSN, daytime telephone number and

should send Form MO-1040V with your payment.

“2000 MO Income Tax” on your check or money order.

• Detach the payment voucher at the perforation and mail your pay-

How Do I Fill In the Payment Voucher?

ment. Do not attach/staple your payment, voucher and/or return

Complete the name(s) and address block. Use the label from the front

together.

cover of your book if the address information is correct.

• Please mail your Form MO-1040V and payment to:

Line 1a — Place an “X” on Line 1a if you received a tax book or a Form

MO-1040PC (postcard) with a preprinted mailing label and the address-

Missouri Department of Revenue

ing information was incorrect.

P.O. Box 371

Jefferson City, MO 65105-0371

Line 1b — Place an “X” on Line 1b if this is the first time you have filed a

Missouri income tax return or you did not receive a tax book or Form

Please print as shown below in black or dark blue ink. Do not

MO-1040PC (postcard) with a preprinted mailing label.

use red ink or pencil.

Line 2 — Enter your social security number (SSN) on Line 2. If you are

filing a combined return, enter on Line 2 the first SSN as shown on your

return.

2 3 4

A B C D

Line 3 — Enter the first four letters of your last name on Line 3. See

examples.

NAME

ENTER

}

John Brown

BROW

Juan De Jesus

DEJE

Please use capital

Joan A. Lee

LEE

letters as shown.

Jean McCarthy

MCCA

John O’Neill

ONEI

Pedro Torres-Lopez

TORR

MO 860-2715 (11-2000)

1a. Address

1b. First time filer

2000

0 0

MISSOURI DEPARTMENT OF REVENUE

change . . . . . . . . . . . . .

or no label . . . .

FORM

INDIVIDUAL INCOME TAX

2. Your social

MO-1040V

PAYMENT VOUCHER

security number . . . . . .

PLEASE PRINT. MAKE CHECK PAYABLE TO MISSOURI DIRECTOR OF REVENUE.

3. Your name

MAIL FORM MO-1040V AND PAYMENT TO THE MISSOURI DEPARTMENT OF

control . . . . . . . . . . . . .

REVENUE, P.O. BOX 371, JEFFERSON CITY, MO 65105-0371.

4. Spouse’s social

YOUR NAME

security number . . . . . .

5. Spouse’s name

SPOUSE’S NAME

control . . . . . . . . . . . . .

6. Amount of payment

0 0

STREET ADDRESS

(U.S. funds only) . . . . . .

•

CITY

STATE

ZIP CODE

FULL PAYMENT OF TAXES MUST BE SUBMITTED BY APRIL 16, 2001 TO AVOID

•

INTEREST AND ADDITIONS TO TAX FOR FAILURE TO PAY.

DOR USE ONLY

• PLEASE SEND CHECK OR MONEY ORDER (U.S. FUNDS ONLY)

MO 860-2715 (11-2000)

Form Mo-1040v - Individual Income Tax Payment Voucher - 2000

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