Form 1041-V - Payment Voucher - 2012
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1
22012
Form 1041-V
Department of the Treasury
Internal Revenue Service
Any reference in these instructions to “you” means the
• Make sure the name of the estate or trust appears on
fiduciary of the estate or trust.
the check or money order.
• Write the estate's or trust's EIN and “2012 Form 1041”
What Is Form 1041-V and Do You Have To
on the check or money order.
Use It?
• To help us process the payment, enter the amount on
It is a statement you send with a check or money order
the right side of the check like this: $ XXX.XX. Do not use
for any balance due on Line 27 (Tax due) of the estate's
dashes or lines (for example, do not enter “$ XXX—” or
or trust's 2012 Form 1041. Using Form 1041-V allows us
“$ XXX
”).
/
xx
100
to process the payment more accurately and efficiently.
How To Send In the Estate's or Trust's 2012
We strongly encourage you to use Form 1041-V, but
there is no penalty if you do not.
Tax Return, Payment, and Form 1041-V
You may choose to pay any balance due electronically.
• Detach Form 1041-V along the dotted line.
If you do, you do not need to send in Form 1041-V. To
• Do not staple or otherwise attach the payment or Form
find out how to pay electronically, go to IRS.gov and
1041-V to the return or to each other. Instead, just put
enter “electronic payment options” in the search box.
them loose in an envelope.
How To Fill In Form 1041-V
• Mail the estate's or trust's 2012 tax return, payment,
and Form 1041-V to the address shown on the back that
Line 1. Enter the estate's or trust's employer identification
applies to you.
number (EIN) as shown on its return.
Line 2. Enter the amount you are paying by check or
money order.
Line 3. Enter the name of the estate or trust.
Line 4. Enter your name and title.
Line 5. Enter your address exactly as shown on the
estate's or trust's return. Please print clearly.
How To Prepare the Payment
• Make the check or money order payable to “United
States Treasury.” Do not send cash.
1041-V
Form
(2012)
Cat. No. 54561M
Detach Here and Mail With Your Payment and Return
▼
▼
1041-V
Payment Voucher
OMB No. 1545-0092
2012
Make your check or money order payable to “United States Treasury”
▶
Department of the Treasury
Do not staple or attach this voucher to your payment or return
▶
Internal Revenue Service (99)
Dollars
Cents
1 Employer identification number (EIN)
2 Amount you are
paying by check
or money order
3 Name of estate or trust
4 Name and title of fiduciary
5 Address of fiduciary (number, street, and room or suite no.)
City, state, and ZIP code
For Paperwork Reduction Act Notice, see the Instructions for Form 1041.
Cat. No. 54561M
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