Form 1041me-Pv - Maine Payment Voucher For Fiduciary Income Tax - 2015

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FORM 1041ME-PV
Maine EZ Pay
Pay your income tax electronically at and eliminate the necessity of fi ling Form
1041ME-PV.
Maine EZ Pay is an online application that allows Maine taxpayers to make payments online, quickly and easily. To avoid
having to make payments earlier than necessary, payments may be scheduled in advance and will automatically be withdrawn
on the payment date the taxpayer selects.
Taxpayers must pre-register online with personal and bank account information, and payments will be withdrawn from the
checking or savings account that is set up in the registration. For more information, see (click on
Electronic Services).
To mail your payment, follow the instructions below.
Enter the name and EIN of the Estate or Trust. Also enter the name and title, social security number or EIN and address of
the Fiduciary or Trustee.
Enter the amount of your check or money order in the space provided.
Make checks payable to “Treasurer, State of Maine.”
Mail your completed Form 1041ME-PV and payment to Maine Revenue Services, PO Box 9101, Augusta, ME 04332-9101.
DO NOT STAPLE OR TAPE CHECK TO YOUR FORM. DO NOT CUT OR DETACH THIS FORM.
2015
STATE OF MAINE
99
PAYMENT VOUCHER
FORM
for FIDUCIARY INCOME TAX
*1409601*
1041ME-PV
Name of Estate or Trust
Estate/Trust EIN
Name and Title of Fiduciary or Trustee
Fiduciary SSN or EIN (do not enter / or -)
Address of Fiduciary (Number and Street)
.00
City
State
ZIP Code
Amount of Payment

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