Form Il-1040-V - Payment Voucher For Individual Income Tax - Illinois Department Of Revenue - 2004
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1
2IL-1040-V
•
All forms must be 3.625 inches high and 8.5 inches wide.
•
The scan line must start 3.5 inches from the left edge, and .25 - .375 inches from the bottom edge of the form.
•
Forms should be mailed to the following address:
ILLINOIS DEPARTMENT OF REVENUE
SPRINGFIELD IL 62726-0001
•
The IL-1040-V consists of the following:
Form Content
Scan Line Content
(6)
Form Code (always 10408) - (Positions 1-5)
(1) Software/Forms Developer ID Number
(7)
Liability Period (mmyy) - (Positions 6-9)
(2) Primary’s Social Security Number (SSN)
Space - (Position 10)
(3) Spouse’s SSN
(8)
Form Code/Liability Period Check Digit - (Position 11)
(4) Taxpayers’ Name and Address
Space - (Position 12)
(5) Preparer’s Phone Number
(9)
1040 Voucher ID (always 2) - (Position 13)
Space - (Position 14)
(10)
Primary SSN - (Positions 15-23)
Space - (Position 24)
(11)
Primary SSN Check Digit - (Position 25)
Space - (Position 26)
(12)
Numeric Post - (Positions 27-34)
Space - (Position 35)
(13)
Numeric Post Check Digit - (Position 36)
Space - (Position 37)
(14)
Amount Paid - (Positions 38-46)
Note:
•
The Liability Period must be for the current tax year.
• The Numeric Post is a conversion from the taxpayer’s post, which is the first four letters of taxpayer’s last
name. The numeric post is calculated by numbering the alphabet from 1 - 26 beginning with the letter A as 01,
B as 02, and so on. A space is identified as 00. In the example above, 10151405 = JONE.
If the name is less than 4 positions, left justify the name and fill the remaining positions with a space(00).
Do not use a space(00) to replace hyphenation or spaces in a name.
EXAMPLE: Coe would be 03150500
Omit punctuation and spaces in a name. Do not substitute spaces for punctuation.
EXAMPLE: O’Connor would be 15031514 = OCON and De Hoya would be 04050815 = DEHO
•
The Amount Paid field must contain 7 positions for dollars and 2 positions for cents. Zero fill this field to the
left of the dollar amount.
(1)
ID: 1234
(2)
(3)
343-34-7631
343-34-8787
John and Annie Joneket
(4)
1234 Folks Place
Anywhere, IL 12345-1234
Print your payment amount.
Mail to: Illinois Department of Revenue
Springfield Il 62726-0001
(5)
Preparer’s phone number
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
104081204 1 2 343347631 8 10151405 0 999999999
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