Rev. 9/08
Form IFTA 100-V
Massachusetts
Payment Voucher and Instructions for
Department of
IFTA Returns Filed Electronically
Revenue
General Information
Who must use this form?
Do not staple or otherwise attach your payment to the payment
voucher. Instead, place the items loose in the envelope.
You must submit this voucher with your payment if you file a balance-
due return, Form IFTA-100, using IFTA E-file.
Need Help?
Mailing Instructions
Telephone assistance is available from 9 a.m. to 5 p.m. (Eastern
Standard Time), Monday through Friday at (617) 887-5080.
Detach and mail your voucher along with your payment to:
Massachusetts Department of Revenue
For forms or publications, visit our website at
PO Box 22097
Albany, NY 12201-2097
If you need to write, address your letter to:
Massachusetts Department of Revenue
Make check or money order payable to Commonwealth of Mass-
IFTA Operations Unit
achusetts. Do not send cash through the mail.
PO Box 7027
Boston, MA 02204-7027
Include on your check or money order your identification number,
Form IFTA-100-V, and period covered by this payment.
DETACH HERE
Massachusetts State Department of Revenue
IFTA-100-V
Payment Voucher for IFTA Returns Filed Electronically
Licensee IFTA identification number
Period
Due date
Jurisdiction
Massachusetts
Taxpayer name
Amount due
Remittance amount
$
For office use only
IFTA-100-V (12/05)