Form 1040-V Page 2
Form 1040-V Page 2
IF you live in ... THEN use this address to send in your payment ...
Florida, Louisiana, Mississippi, Texas Internal Revenue Service
P.O. Box 1214
Charlotte, NC 28201-1214
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada,
New Mexico, Oregon, Utah, Washington, Wyoming Internal Revenue Service
P.O. Box 7704
San Francisco, CA 94120-7704
Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota,
Montana, Nebraska, North Dakota, Ohio, Oklahoma,
South Dakota, Wisconsin Internal Revenue Service
P.O. Box 802501
Cincinnati. OH 45280-2501
Alabama, Georgia, Kentucky, New Jersey, North Carolina,
South Carolina, Tennessee, Virginia Internal Revenue Service
P.O. Box 931000
Louisville. ICY 40293-1000
Delaware, Maine, Massachusetts, Missouri, New Hampshire,
New York, Vermont Internal Revenue Service
P.O. Box 37008
Hartford, CT 06176-7008
Connecticut, District of Columbia, Maryland, Pennsylvania,
Rhode Island, West Virginia Internal Revenue Service
P.O. Box 37910
Hartford, CT 06176-7910
A foreign country, American Samoa, or Puerto Rico (or are
excluding income under Internal Revenue Code 933), or use an
APO or FPO address, or file Form 2555, 2555-EZ, or 4563, or are
a dual-status alien or nonpermanent resident of Guam or the
U.S. Virgin Islands. Internal Revenue Service
P.O. Box 1303
Charlotte, NC 28201-1303
♦ Detach Horo and Mail With Your Payment and Return • row) 1040-V
Department of the Treasury
Internal Revenue Service (99)
G Use this voucher when snaking a payment with Form 1040.
G Do not staple this voucher or your payment to Form 1040.
G Make your cheek cy money order payable to the 'United slates Treasury.'
G Write your social securely number (55N) on your cheek or money order. Form 1040-V Payment Voucher
Enter the amount
of your payment ci
EFTA01222571