Form Il-990-T-V - Payment Voucher For Exempt Organization Income And Replacement Tax - 2012

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Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
If no payment is due or you make your payment electronically, do not file this form.
We encourage all taxpayers to pay electronically whenever possible.
With WebPay you can . . .
Avoid mailing delays.
Save a trip to the post office and the price of a stamp.
Get immediate confirmation of your payment.
Click “WebPay” to electronically pay.
We encourage you to pay electronically by clicking “WebPay”. If you make your payment
electronically do not file this form. If you do not elect to pay electronically, pay the amount
you owe on your IL-990-T, Exempt Organization Income and Replacement Tax Return, by
completing the IL-990-T-V at the bottom of this page. Attach it, along with your payment, to your
return, and mail them to the address on the voucher.
Illinois Department of Revenue
IL-990-T-V
Payment Voucher for Exempt Organization
2012
Income and Replacement Tax
IL-990-T-V (R-12/12)
ID: 110
Mail to: Illinois Department of Revenue, P.O. Box 19053, Springfield, IL 62794-9053
If no payment is due or you make your payment electronically, do not file this form.
Tax year ending
0
0
0
FEIN:
SEQ:
Month
Year
Name:
$
C/O:
Print your payment amount on this line.
Mailing
WRITE YOUR FEIN ON YOUR CHECK
address
:
Return this voucher with check or money
order p ayable to “Illinois Department of
City:
State:
ZIP:
Revenue.”
Preparer’s
Phone Number:
Reset
Print

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