Form 2290 - Heavy Highway Vehicle Use Tax Return Page 10

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Form 2290-V, Payment Voucher
Purpose of Form
Box 2. Enter the amount paid from Form 2290, line 6.
Box 3. Enter the date as shown on Form 2290, line 1.
Complete Form 2290-V if you are making a payment by
check or money order with Form 2290, Heavy Highway
Box 4. Enter your name and address as shown on Form
Vehicle Use Tax Return. We will use Form 2290-V to
2290.
credit your payment more promptly and accurately, and
• Enclose your check or money order made payable to
to improve our service to you.
“United States Treasury.” Be sure to enter your EIN,
If you have your return prepared by a third party and a
“Form 2290,” and the tax period on your check or money
payment is required, provide Form 2290-V to the return
order. Do not send cash. Do not staple Form 2290-V or
preparer.
your payment to Form 2290 (or to each other).
Do not file Form 2290-V if you are paying the balance
• Detach Form 2290-V and send it with your payment and
due on Form 2290, line 6, using the Electronic Federal
Form 2290 to the address shown in the bottom left corner
Tax Payment System (EFTPS) or electronic funds
of Form 2290-V.
withdrawal (direct debit). See How To Pay the Tax in the
Instructions for Form 2290.
Specific Instructions
Box 1. If you do not have an EIN, you may apply for one
online. Go to the IRS website at
and click on the “Employer
ID Numbers (EINs)” link. You may also apply for an EIN by
faxing or mailing Form SS-4, Application for Employer
Identification Number, to the IRS.
Detach here
2290-V
Payment Voucher
For the period July 1, 2016, through June 30, 2017
OMB No. 1545-0143
(Rev. July 2016)
See How To Pay the Tax in the Instructions for Form 2290.
Department of the Treasury
Do not staple or attach this voucher or your payment to your return.
Internal Revenue Service
Dollars
Cents
Enter the amount of your payment. Make
1 Employer identification number
2
your check or money order payable to
“United States Treasury”
3 Enter date as shown on line 1 of Form 2290.
4 Name
Y
Y
Y
Y
M
M
Address (number, street, and room or suite no.)
Send Form 2290, this voucher, and payment to:
Internal Revenue Service
City or town, state or province, country, and ZIP or foreign postal code
P.O. Box 804525
Cincinnati, OH 45280-4525

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