Delaware Form De 200-V - Electronic Filer Payment Voucher - 2012

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What is a Payment Voucher and Why Should I Use It?
How Do I Make My Payment?
A payment voucher is a statement you send with your payment when
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you have a balance due on your electronically filed tax return. It is like
Division of Revenue”. Don’t send cash.
the part of other bills–utilities, credit cards, etc.–that you send back with
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your payment.
money order.
This payment voucher is intended for use only when you have filed your
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200-01” or “2012 Form 200-02” on your check or money order.
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Detach the payment voucher at the perforation.
previously received return.
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Mail your payment and payment voucher to the address below.
If you have a balance due on your 2012 Form 200-01 or 200-02,
please send the payment voucher with your payment. By sending it,
Mail To:
you will help save tax dollars since we will be able to process your
Delaware Division of Revenue
payment more accurately and efficiently. We strongly encourage you
P .O. Box 830
to use Form DE-200V, but it is not required.
Wilmington, DE 19899-0830
How Do I Fill in the Payment Voucher?
NOTE: DO NOT attach your return or DE 8453 to your payment or the
payment voucher. By sending a copy of your return or the DE 8453
Box 1.
Enter your Social Security Number. Enter in box 1 the SSN
with your payment or payment voucher, you will be duplicating your
shown first on your return and the second SSN in box 4.
previously filed electronic return and/or its paper representation.
Enter the first four letters of your last name. See examples
Box 2.
below:
Name
Enter
When is My Payment Due?
John Brown
BROW
Payment of Individual Income Taxes is due on or before April 30, 2013,
Joan A. Lee
LEE
for all taxpayers filing on a calendar year basis. All others must pay their
John O’Neill
ONEI
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Juan DeJesus
DEJE
year. Non-calendar year filers may not file electronically and therefore
Jean McCarthy
MCCA
will not have use for this form.
Pedro Torres-Lopez
TORR
Although extensions are sometimes granted to fi
Box 3.
Enter the amount of your payment.
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past the due date, there is no extension of time for payment of tax.
If you are filing a joint or married filing separate return, enter
Box 4.
the spouse’s SSN.
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additional information on substantial penalties and interest for failure to
Box 5.
Enter your name(s) and address.
pay (in whole or in part) the tax liability due by the due date.
Form DE 200-V (2012)
DETACH HERE AND MAIL BOTTOM PORTION WITH YOUR PAYMENT
DO NOT WRITE OR STAPLE IN THIS AREA
Electronic
DELAWARE
FORM
Filer
Reset
2012
Payment
DE 200-V
Print Form
Voucher
2. Enter the first four letters of your last
1. Enter your social security number
3. Enter the amount of the payment you are making.
name
$
.
4. If a joint return, enter your spouse’s social
5. Enter your name(s)
security number
Enter your address
Enter your city, state, and ZIP code
001-30 (Revised 12/12/12)
*DF21412019999*

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