Form-It - Montana Individual Income Tax Payment Voucher printable pdf download

Form-It - Montana Individual Income Tax Payment Voucher

You can help us maximize savings on processing costs by removing your check stub and by not

stapling or taping your voucher to your check or tax return.

If you are sending us a check, complete the Form-IT Payment Voucher below. When ﬁ lling out your

voucher, please print using black or blue ink. Please do not type or use dollar signs. Please print your

numbers in the blocked area of your vouchers like this:

Line 2 shows the last day of the tax year your

payment applies to.

Why not e-pay?

Line 3 is for your social security number (SSN).

See your options at revenue.mt.gov.

Line 4 is the amount of your payment. Round to

the nearest dollar.

Form-IT

Montana Individual Income

Please use this voucher to ensure proper credit of

your payment. Also, write your social security number

Tax Payment Voucher

and tax year on your check.

Why not e-pay? See your options at revenue.mt.gov.

1. Current Year

Name ______________________________

Phone Number ___________________

12 31 2011

2. Period Ending Date

*11AL0101*

3. SSN

Department of Revenue

PO Box 6308

4. Amount Paid

Helena, MT 59604-6308

81114030600000000000004000000000RTNPYM500000000000

Form-It - Montana Individual Income Tax Payment Voucher