Form D-40p - Payment Voucher
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Government of
*080401010002*
2008
D-40P Payment Voucher
the District of Columbia
Print
Important:
Print in CAPITAL letters in black ink.
If married filing jointly, fill in spouse’s/partner’s name and SSN.
Your first name
Last name
M.I.
Spouse’s/partner’s first name
M.I.
Last name
Your social security number
Spouse’s/partner’s social security number
Daytime phone number
Home address (number, street and apartment)
City
State
Zip Code + 4
-
$
.00
Whole dollars only. Do not enter cents. The return
Amount of payment
envelope must be postmarked by April 15, 2009
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D-40P P1
Revised 02/09
Payment Voucher
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Parent category: Life