Illinois Department of Revenue
IL-1041-V
Payment Voucher for Fiduciary
2002
Income and Replacement Tax
IL-1041-V (R-9/02)
FEIN
Mail to: Illinois Department of Revenue, P.O. Box 19009, Springfield, IL 62794-9009
IBT
Tax year ending
Make sure the Business Name, FEIN,
and Payment amount are correct.
Month
Year
$
Print your payment amount on this line.
WRITE YOUR FEIN ON YOUR CHECK
Preparer’s Phone Number_______________