Form-It - Montana Individual Income Tax Payment Voucher

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Montana Individual Income Tax Payment Instructions
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Voucher Instructions:
Check Instructions:
● Enter your full name, mailing address and phone
● Make your check payable to Montana Department of
● Write your SSN and the tax year for which the payment
1 through 4. Payment Type
applies on the memo line of your check.
● Print an “X” in one of the four boxes to indicate the type
● Do not staple or tape the voucher and check together.
of payment you are sending.
5. Period Ending Date
If you are paying taxes for multiple years, please provide a
voucher for each tax year and indicate the amount you wish
● Enter the last day of the applicable tax year for which
to be applied to that year.
the payment applies.
Mail this voucher with your payment and tax return (if
● Format date as MMDDYYYY.
applicable) to:
6. Social Security Number (SSN)
MT Department of Revenue
● It is important to enter your entire SSN.
PO Box 6309
Helena, MT 59604-6309
7. Amount Paid
If you have questions, please call us toll free at (866) 859-
● Enter the payment amount rounded to the nearest
2254 (in Helena, 444-6900). We are available Monday
through Friday 8 a.m. to 5 p.m.
● Do not include dollar signs, commas or decimals.
● We have populated the cents for you.
Montana Individual Income
Please use this voucher to ensure proper credit of
your payment. Also, write your social security number
Tax Payment Voucher
and tax year on your check.
Name _________________________________________________
1. Current Year
Mailing Address ________________________________________
City, State, Zip _________________________________________
2. Estimated
Phone Number ___________________
5. Period Ending Date
3. Extension
6. SSN
Department of Revenue
4. Amended
PO Box 6309
0 0
7. Amount Paid
Helena, MT 59604-6309


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