Form 730 - Monthly Tax Return For Wagers Page 3
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1
2
3Form 730
Payment Voucher
Purpose of Form
Box 2—Amount paid. Enter the amount paid with
Form 730.
Complete Form 730-V if you are making a payment
Box 3. Enter the same date you entered on page 1 of
with Form 730, Monthly Tax Return for Wagers. We will
Form 730.
use the completed voucher to credit your payment
Box 4—Name and address. Enter your name and
more promptly and accurately, and to improve our
address as shown on Form 730.
service to you.
Enclose your check or money order made payable to
If you have your return prepared by a third party and
the “United States Treasury.” Be sure to enter your
a payment is required, provide this payment voucher to
EIN, “Form 730,” and the tax period on your check or
the return preparer.
money order. Do not send cash. Do not staple this
Specific Instructions
voucher or your payment to Form 730 (or to each
other).
Box 1—Employer identification number (EIN). If you
Detach the completed voucher and send it with your
do not have an EIN, you may apply for one online. Go
payment and Form 730. See Where to file on page 1 of
to the IRS website at
Form 730.
and click on the “Employer ID Numbers (EINs)” link.
You may also apply for an EIN by telephone by calling
1-800-829-4933, or you can fax or mail Form SS-4,
Application for Employer Identification Number, to the
IRS.
730-V
Form
(2005)
Detach Here and Mail With Your Payment and Form 730.
730-V
Payment Voucher
OMB No. 1545-0235
(Rev. July 2005)
Department of the Treasury
Do not staple or attach this voucher to your payment.
Internal Revenue Service
1
Enter your employer identification
2
Dollars
Cents
number.
Enter the amount of your payment.
3 Enter year and month as shown on Form 730.
4
Enter your business name (individual name if sole proprietor).
Y
Y
Y
Y
M
M
Enter your address.
Send Form 730, this voucher, and payment to:
Internal Revenue Service
Enter your city, state, and ZIP code.
Cincinnati, OH 45999-0100
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