Estate Tax Payment Form - Illinois State Treasurer
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1ILLINOIS STATE TREASURER
ESTATE TAX PAYMENT FORM
This Form, along with a copy of the Illinois 700 Estate Tax Return and your payment
MUST BE PAID AND MADE PAYABLE to the following address:
Illinois State Treasurer's Office
Attn: Estate Tax Section
400 W. Monroe St. - 4th Fl.
Springfield, IL 62704-1800
You may make payment in person at:
Illinois State Treasurer's Office
Illinois State Treasurer's Office
400 W. Monroe St., 4th Fl.
100 W. Randolph St., Suite 15-600
Springfield, IL 62704
Chicago, IL 60601
Note: Check must be made payable to: ILLINOIS STATE TREASURER
We accept Check, Money Order, Cashier's Check and ACH. WE DO NOT ACCEPT CASH.
For ACH instructions, or any other questions, please call our Toll Free Number: 1 - 800 - 252 - 8919
To be completed by Estate Representative:
ESTATE OF: __________________________________ DATE OF DEATH: _____________________________
SS # OF DECEDENT: __________________________ COUNTY OF ASSESSMENT: ____________________
AMOUNT OF PAYMENT: $ ______________________
NAME AND ADDRESS OF PERSON TO RECEIVE RECEIPT:
NAME, PHONE NUMBER AND E-MAIL ADDRESS (OPTIONAL) OF CONTACT PERSON:
To be completed by staff for walk-ins:
To be completed by Springfield Estate Tax staff:
Date Stamp:
Mailed/Credit Date:
Payment Received: $
Check/Money Order/
Cashier's Check/
ACH Number:
Date Stamp:
Received By: ________________________
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