D-40ps Payment Voucher For Statehood Donations Template
Download a blank fillable D-40ps Payment Voucher For Statehood Donations Template in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete D-40ps Payment Voucher For Statehood Donations Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1*050402010000*
Government of the
D-40PS Payment Voucher
2005
District of Columbia
for Statehood Donations
Important:
Print in all CAPITAL letters.
If married filing jointly, fill in your spouse’s name and social security number.
Reset Form
Your first name
MI
Last name
If married filing jointly, spouse’s first name
MI
Last name
Your social security number (SSN)
If filing jointly, spouse’s SSN
Your daytime phone number
Home address (number and street)
Apartment number
City
State
Zip
.
Amount of payment
$
00
Please send to:
Office of Tax and Revenue
Do not enter cents.
941 N Capitol St NE, Fl 6
Enter dollars only.
Washington, DC 20002-4265
Instructions
The D-40PS Payment Voucher for Statehood Donations may be used to make a donation to the DC Statehood
Delegation fund. The name(s) above must match your D-40 or D-40EZ return exactly.
•
Print and mail this form to: Office of Tax and Revenue, 941 N Capitol St NE, Fl 6 Washington, DC 20002-4265.
•
Staple your check or money order to the bottom of this D-40PS. Make the payment out to DC Treasurer, write your SSN,
the type of return (D-40 or D-40EZ) and the word "Statehood" on your payment.
D-40PS P1
Payment Voucher for
Statehood Donations
Revised 02/06
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life