Form K-40v - Kansas Individual Income Tax Payment Voucher - 2013
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1FORM K-40V INSTRUCTIONS
Print your name, address, Social Security number, and the
If you are filing an extension of time to file your return, mark
first four letters of your last name in the spaces provided. If
the appropriate box with "X". Note that an extension of time is
you are filing a joint return, print your spouse's name, Social
an extension to file , NOT an extension to pay .
Security number, and first four letters of their last name in
the spaces provided. If your name or address information
Do not attach the payment voucher or payment to your
has changed since last year, be sure to mark the "Name or
return or to each other. Place them loosely in the envelope
Address Change" box with "X".
with your return. If you have already mailed your return, or
you filed electronically and didn't pay electronically, mail your
Make your check or money order payable to "Kansas
payment and the voucher to:
Income Tax" for the full amount of your tax due. Be sure
KANSAS INCOME TAX
your Social Security number is printed on your check or
KANSAS DEPARTMENT OF REVENUE
money order. If payment is not made on or before April 15,
915 SW HARRISON ST
2014, the tax due is subject to penalty and interest.
TOPEKA KS 66612-1588
NOTE: If any due date falls on a Saturday, Sunday, or legal holiday, substitute the next regular workday.
K-40V
2013 KANSAS
FOR OFFICE USE ONLY
Please use UPPER CASE letters
INDIVIDUAL INCOME TAX
to print the first four letters of
PAYMENT VOUCHER
(Rev. 7/13)
Your last name
Spouse's last name
Initial
Last Name
Your First Name
Your Social
Security number
Initial
Last Name
Spouse's First Name
Spouse's Social
Security number
Mailing Address (Number and Street, including Rural Route)
Name or
Address
Change
Write your Social Security number on check or money order
City, Town, or Post Office
State
Zip Code
and make payable to Kansas Income Tax.
Daytime Phone Number
PAYMENT
$
Amended
Extension
AMOUNT
Payment
Payment
DO NOT SUBMIT PHOTOCOPIES OF THIS FORM
112013
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