Form 945-V,
Payment Voucher
Purpose of Form
Caution. Use Form 945-V when making any payment with
Form 945. However, if you pay an amount with Form 945
Complete Form 945-V, Payment Voucher, if you are
that should have been deposited, you may be subject to a
making a payment with Form 945, Annual Return of
penalty. See Deposit Penalties in section 11 of Pub. 15
Withheld Federal Income Tax. We will use the completed
(Circular E).
voucher to credit your payment more promptly and
Specific Instructions
accurately, and to improve our service to you.
If you have your return prepared by a third party and
Box 1—Employer identification number (EIN). If you do
make a payment with that return, please provide Form
not have an EIN, apply for one on Form SS-4, Application
945-V to the return preparer.
for Employer Identification Number, and write “Applied
For” and the date you applied in this entry space.
Making Payments With Form 945
Box 2—Amount paid. Enter the amount paid with Form
To avoid a penalty, make your payment with your 2010
945.
Form 945 only if:
Box 3—Name and address. Enter your name and
• Your total taxes for the year (line 3 on Form 945) are
address as shown on Form 945.
less than $2,500 and you are paying in full with a timely
• Enclose your check or money order made payable to
filed return, or
the “United States Treasury.” Be sure to enter your EIN,
• You are a monthly schedule depositor making a
“Form 945,” and “2010” on your check or money order.
payment in accordance with the Accuracy of Deposits
Do not send cash. Do not staple Form 945-V or your
Rule. See section 11 of Pub. 15 (Circular E), Employer’s
payment to the return (or to each other).
Tax Guide, for details. In this case, the amount of your
• Detach Form 945-V and send it with your payment and
payment may be $2,500 or more.
Form 945 to the address provided in the Instructions for
Otherwise, you must deposit your payment by using
Form 945.
the Electronic Federal Tax Payment System (EFTPS). See
Note. You must also complete the entity information
section 11 of Pub. 15 (Circular E) for deposit instructions.
above line A on Form 945.
Do not use Form 945-V to make federal tax deposits.
✁
Detach Here and Mail With Your Payment and Form 945.
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945-V
OMB No. 1545-1430
Payment Voucher
Form
2010
Department of the Treasury
Do not attach this voucher or your payment to Form 945.
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Internal Revenue Service
1 Enter your employer identification number (EIN).
Dollars
Cents
2
Enter the amount of your payment
. .
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3 Enter your business name (individual name if sole proprietor).
Enter your address.
Enter your city, state, and ZIP code.