Form Il-990-T-V - Payment Voucher For Exempt Organization Income And Replacement Tax - 2002

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Illinois Department of Revenue
IL-990-T-V
Payment Voucher for Exempt Organization
2002
Income and Replacement Tax
IL-990-T-V (R-9/02)
FEIN
Mail to Illinois Department of Revenue, P.O. Box 19009, Springfield, IL 62794-9009
IBT
Tax year ending
Anybody’s Plumbing and Heating
Make sure the Business Name, FEIN,
1234 Anywhere Blvd
Month
Year
and Payment amount are correct.
Anywhere, IL 12345-1234
$
Print your payment amount on this line.
WRITE YOUR FEIN ON YOUR CHECK
Preparer’s Phone Number_______________

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