Form-It - Montana Individual Income Tax Payment Voucher
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1Montana Individual Income Tax Payment Instructions
ePay is Quick and Easy! See your options at revenue.mt.gov
Voucher Instructions:
Check Instructions:
● Enter your full name, mailing address and phone
● Make your check payable to Montana Department of
number.
Revenue.
● 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
dollar.
through Friday 8 a.m. to 5 p.m.
● Do not include dollar signs, commas or decimals.
● We have populated the cents for you.
Form-IT
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
CLEAR FORM
Mailing Address ________________________________________
City, State, Zip _________________________________________
2. Estimated
Phone Number ___________________
5. Period Ending Date
*12AL0101*
3. Extension
*12AL0101*
6. SSN
Department of Revenue
4. Amended
PO Box 6309
0 0
7. Amount Paid
Helena, MT 59604-6309
81114030600000000000004000000000RTNPYM500000000000
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