Form D-40p - Payment Voucher - 2011
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1D-40P PAYMENT VOUCHER
See instructions on back
Detach at perforation and mail the voucher, with payment attached, to the Offi ce of Tax and Revenue, PO Box 7182, Washington DC 20044-7182.
2011
D-40P Payment Voucher
Government of the
District of Columbia
*110401010000*
Important: Print in CAPITAL letters using black ink. If filing jointly, or filing
separately on same return, see instructions on page 2.
Vendor ID# 0000
Offi cial Use Only
Your fi rst name
M.I.
Last name
Spouse’s/registered domestic partner’s fi rst name
Last name
M.I.
Your social security number (SSN)
Spouse’s/registered domestic partner’s SSN
Daytime telephone number
Home address (number, street and apartment)
City
State
Zip Code + 4
-
Do not enter cents, enter dollars only. To avoid penalties and interest,
$
.00
Amount of payment
your payment must be postmarked no later than April 15, 2012.
D-40P P1
Payment Voucher
Revised 09/11
2011
D-40P Payment Voucher
Government of the
District of Columbia
*100401010000*
Important: Print in CAPITAL letters using black ink. If filing jointly, or filing
separately on same return, see instructions on page 2.
Vendor ID# 0000
Offi cial Use Only
Your fi rst name
Last name
M.I.
Spouse’s/registered domestic partner’s fi rst name
Last name
M.I.
Your social security number (SSN)
Spouse’s/registered domestic partner’s SSN
Daytime telephone number
Home address (number, street and apartment)
City
State
Zip Code + 4
-
Do not enter cents, enter dollars only. To avoid penalties and interest,
$
.00
Amount of payment
your payment must be postmarked no later than April 15, 2012.
D-40P P1
Payment Voucher
Revised 09/11
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