Form D-40p - Payment Voucher- 2009

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D-40P PAYMEnT VOUCHER
l
2009
D-40P Payment Voucher
government of the
*090401010000*
District of Columbia
Important: Print in CaPItaL letters using black ink. If filing jointly, or filing
separately on same return, fill in spouse’s or domestic partner’s name and ssN.
Your first name
m.I.
Last name
spouse’s/registered domestic partner’s first 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
-
Whole dollars only. Do not enter cents. The return envelope
$ .00
Amount of payment
must be postmarked no later than April 15, 2010.
l
l
D-40P P1
revised 10/09
Payment Voucher
Detach at perforation and mail the voucher, with payment attached, to the Office of Tax and Revenue.
l
2009
D-40P Payment Voucher
government of the
*090401010000*
District of Columbia
Important: Print in CaPItaL letters using black ink. If filing jointly, or filing
separately on same return, fill in spouse’s or domestic partner’s name and ssN.
Your first name
m.I.
Last name
spouse’s/registered domestic partner’s first 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
-
Whole dollars only. Do not enter cents. The return envelope
$ .00
Amount of payment
must be postmarked no later than April 15, 2010.
l
l
D-40P P1
revised 10/09
Payment Voucher

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