Form-It - Montana Individual Income Tax Payment Voucher

Form-It - Montana Individual Income Tax Payment Voucher - 2010

If you wish to pay electronically, visit revenue.mt.gov for electronic payment options. There is no fee for

an e-check payment; a small fee is applied for a credit card payment.

If you are sending us a check payment, complete the Form-IT Payment Voucher below. When filling 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:

The Department of Revenue has instituted a cost-

Box 2, the last day of the tax year your payment

saving procedure to automate the check cashing

applies to.

process. You can help us maximize savings on

Box 3, is for your social security number (SSN).

processing costs by removing your check stub

Box 4, is the amount of your payment. Round to

and by not stapling or taping your voucher to your

the nearest dollar.

check or tax return.

Form-IT

Montana_Individual_Income_

Please_use_this_voucher_to_ensure_proper_credit_

of_your_payment._Also,_write_your_social_security_

Tax_Payment_Voucher

number_and_tax_year_on_your_check.

Use_black_or_blue_ink_to_fill_out_boxes_below.

1._ Current_Year

Name_ _ _____________________________

Phone_Number____________________

12 31 2010

2._ Period_Ending_Date

*00110101*

3._ SSN

Department_of_Revenue

PO_Box_6308

4._ Amount_Paid

Helena,_MT_59604-6308

81114030600000000000004000000000RTNPYM500000000000

Form-It - Montana Individual Income Tax Payment Voucher - 2010