Form It-201-V (2010) Payment Voucher For E-Filed Income Tax Returns - New York State


New York State Department of Taxation and Finance
Instructions for Form IT-201-V
Payment Voucher for E-Filed Income Tax Returns
Who must use a payment voucher?
separate bill for $50 for each return or other tax document associated with
the returned payment.
If you e- led a New York State income tax return (on Form IT- T T 150,
Form IT-201, or Form IT-203) and you owe tax, you must submit this
Where do I send my payment and payment voucher?
payment voucher, Form IT-201-V below, if you pay by check or money order.
If you authorized the Tax Department to withdraw the payment from your
Send your payment and this payment voucher to:
bank account (electronic funds withdrawal) or paid by credit card, do not le
Form IT-201-V.
To nd out more about your payment options, visit the Tax Department’s
PO BOX 4124
BINGHAMTON NY 13902-4124
Web site (at )
Private delivery services
When do I file?
If you choose, you may use a private delivery service, instead of the U.S.
You must pay the amount you owe by April 15, 2011, to avoid interest and
Postal Service, to mail in your form and tax payment. However, if, at a
later date, you need to establish the date you led or paid your tax, you
cannot use the date recorded by a private delivery service unless you
How do I prepare my payment?
used a delivery service that has been designated by the U.S. Secretary
Make your check or money order payable to New York State Income Tax
of the Treasury or the Commissioner of Taxation and Finance. (Currently
for the full amount you owe and write your social security number and 2010
designated delivery services are listed in Publication 55, Designated Private
Income Tax on it.
Delivery Services. See Need help? on the back page of these instructions
for information on obtaining forms and publications.) If you have used a
How do I prepare the payment voucher?
designated private delivery service and need to establish the date you
Step 1
led your form, contact that private delivery service for instructions on
how to obtain written proof of the date your form was given to the delivery
Enter your name, social security number (SSN), and address in the spaces
service for delivery. If you use any private delivery service, whether it is a
provided; if you led a joint return, include your spouse’s name and SSN in
designated service or not, send the forms covered by these instructions
the spaces provided. Do not include your spouse’s name and SSN if you
to: JPMorgan Chase, NYS Tax Processing – Estimated Tax, 33 Lewis Rd.,
led separate returns or if you led Form IT-203-C.
Binghamton NY 13905-1040.
Foreign addresses — Enter the information in the following order: city,
province or state, and then country (all in the City, village, or post office
Privacy notification
box). Follow the country’s practice for entering the postal code. Do not
The Commissioner of Taxation and Finance may collect and maintain
abbreviate the country name.
personal information pursuant to the New York State Tax Law, including but
not limited to, sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697, 1096,
Step 2
1142, and 1415 of that Law; and may require disclosure of social security
Enter the amount of your payment in the space provided (enter only whole
numbers pursuant to 42 USC 405(c)(2)(C)(i).
dollar amounts).
This information will be used to determine and administer tax liabilities
Step 3
and, when authorized by law, for certain tax offset and exchange of tax
information programs as well as for any other lawful purpose.
Detach the payment voucher at the line indicated below.
Information concerning quarterly wages paid to employees is provided
Step 4
to certain state agencies for purposes of fraud prevention, support
Enclose your check or money order with your voucher. Please do not staple
enforcement, evaluation of the effectiveness of certain employment and
or clip your check to your voucher. Detach any check stubs.
training programs and other purposes authorized by law.
Fee for payments returned by banks — The law allows the Tax Department
Failure to provide the required information may subject you to civil or criminal
to charge a $50 fee when a check, money order, or electronic payment
penalties, or both, under the Tax Law.
is returned by a bank for nonpayment. However, if an electronic payment
This information is maintained by the Manager of Document Management,
is returned as a result of an error by the bank or the department, the
NYS Tax Department, W A Harriman Campus, Albany NY 12227;
department won’t charge the fee. If your payment is returned, we will send a
telephone (518) 457-5181.
Detach here
New York State Department of Taxation and Finance
Payment Voucher for E-Filed Income Tax Returns
Make your check or money order payable to New York State Income Tax for the full amount you owe and write your social security
number and 2010 Income Tax on it. Mail voucher and payment to: NYS Personal Income Tax, Processing Center, PO Box 4124,
Binghamton NY 13902-4124.
Your rst name and middle initial
Your last name
Your social security number (SSN)
( for a joint return, enter spouse’s name on line below )
Spouse’s rst name and middle initial
Spouse’s last name
Spouse’s SSN
(enter only if filing a joint return)
Mailing address
Apartment number
( number and street or rural route; see instructions )
City, village or post of ce
ZIP code
Balance due


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