Form Mi-1040-V - Michigan E-File Payment Voucher - 2004
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1Reset Form
2004
Instructions for MI-1040-V
Michigan e-file Payment Voucher
Mail this form with e-file payments only. Do not file with your paper return.
Use the Michigan e-file Payment Voucher (Form
Make
check
payable
to
"State
of
=
MI-1040-V) when you e-file a tax due return.
Michigan." To ensure accurate processing
of your return, send one check for each
Do not use Form MI-1040-V to make any other
return type.
Print your Social Security
payments to the State of Michigan.
number and the words "2004 Michigan
income tax" on the front of your check.
Enter on Form MI-1040-V below the tax due
amount as shown on your MI-1040 Individual
Detach Form MI-1040-V along the dotted
=
Income Tax Return, line 37.
line.
Your payment and MI-1040-V are due April 15,
DO NOT attach your payment to Form
=
2005. If your payment is late, Treasury will send
MI-1040-V. Instead, place both items loose
you a bill for the amount due and add a penalty of
in the envelope and mail to the address on
5 percent of the tax due for the first two months,
the MI-1040-V form.
then 5 percent for each month thereafter until
payment is received. Maximum late penalty is 25
DO NOT attach copies of your return to the
=
percent of the balance of tax due. If you pay late,
MI-1040-V.
you must add penalty and interest to the amount
due. The annual interest rate is 1 percent above
DO NOT write notes on the MI-1040-V or
=
the current prime rate. The rate is adjusted on
submit the Voucher without payment.
July 1 and January 1. For current interest rates
If
you
have
questions,
you
may
call
visit our Web site or call 1-800-827-4000.
1-800-827-4000. Deaf-, hearing- or speech-
impaired persons may call 517-636-4999
If you do not owe any tax on your e-filed
(TTY).
MI-1040, do not file this form.
Visit
Treasury's
Web
site
at
Mail this form with e-file payments only. Do not file with your paper return.
#
Detach here and mail with your payment. Do not fold or staple the voucher.
Michigan Department of Treasury (Rev. 10-04)
V
V
2004 MICHIGAN e-file
2004
Payment Voucher MI-1040-V
MI-1040-
Issued under authority of P.A. 281 of 1967.
Use this form if you e-file your Michigan individual income tax return.
Do not use this form to make any other payments to the State of Michigan.
4
4
1.
Filer's Name (first, middle initial, last)
2.
Filer's Social Security Number
Spouse's Social Security Number
(If a joint return) Spouse's Name (first, middle initial, last)
F
WRITE PAYMENT
$
.00
AMOUNT HERE
Home Address (No., Street, P.O. Box or Rural Route)
MAIL TO:
Make check payable to "State of
Michigan Department of Treasury
Michigan." Print your Social Security
P.O. Box 30774
number and "2004 Michigan income
City, State, ZIP Code
Lansing, MI 48909-8274
tax" on the front of your check.
DO NOT WRITE IN THIS SPACE
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