Form Wv It-140v - Individual Income Tax Electronic Payment Voucher - 2016

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2016
IT-140V
West Virginia Individual Income Tax
Electronic Payment Voucher & Instructions
REV. 10-16
Do I need to use a payment voucher?
1. If you owe tax on your 2016 return, send the payment voucher to us with your payment. You must pay the amount you
owe by April 18, 2017, to avoid interest and penalties.
2. If your 2016 return shows a refund or no tax due, there is no need to use the payment voucher.
How do I prepare my payment?
1. Make your check or money order payable to the West Virginia State Tax Department. Do not send cash!
2. If your name and address are not printed on your check or money order, write them on it.
.
3. Write your Social Security Number (SSN), daytime phone number, and “2016 Form IT-140V” on your payment
How do I prepare the payment voucher?
1. Enter your SSN in the first block, top line, and the first four letters of your last name in the second block top line.
2. If a joint return, enter your spouse’s SSN on the second line.
3. Enter the amount you are paying in the third block, top line.
4. Enter your name(s) and address on the last three lines.
5. Mark the Amended box if payment is associated with an amended tax return to ensure the proper direction and
processing. Failure to do so could result in the assessment of late payment penalties.
How do I send my payment and the payment voucher
?
1. Detach the payment voucher by cutting along the dotted line below.
2. DO NOT attach the payment voucher or your payment to your return or to each other.
3. Mail your payment and payment voucher to the following address:
West Virginia State Tax Department
Tax Account Administration Division
P.O. Box 11385
Charleston, WV 25339-1385
WV IT-140V
STATE OF WEST VIRGINIA
REV
EPV 2016
2016 INDIVIDUAL INCOME TAX ELECTRONIC PAYMENT VOUCHER
8-16
Amount of PAyment
Your Social
Security
Amended
Number
$_________________________________________
Name
Spouse’s
Do not send cash! Make your check or money order
Control
SSN
payable to the West Virginia State Tax Department
and write your social security number and “2016 Form
Your First Name
Spouse’s First Name
Last Name
IT-140V” on your check or money order Mail your
payment to:
Mailing Address
West Virginia State Tax Department
Tax Account Administration Division
P.O. Box 11385
City
State
Zip Code
Charleston, WV 25339-1385
NOTE: Electronic filers must inform taxpayers
*p38201601W*
that full payment of taxes due must be submitted
by April 18
to avoid interest and penalties
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