Form Ct-1040 V - Connecticut Electronic Filing Payment Voucher - 2013

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Department of Revenue Services
CT-1040 V
State of Connecticut
(Rev. 12/13)
2013 Connecticut Electronic Filing Payment Voucher
Purpose: Complete CT-1040 V if you fi led your Connecticut income tax return electronically and elect to make
payment by check. You must pay the total amount of tax due on or before April 15, 2014. Any unpaid balance
will be subject to penalty and interest.
Pay by Mail: Make check payable to Commissioner of Revenue Services. To ensure payment is applied to the
correct account, write “2013 CT-1040 V e-fi le” and your Social Security Number (SSN), optional, on the front of
the check. Sign the check and clip it to the front of the voucher. Do not send cash. The Department of Revenue
Services (DRS) may submit the check to your bank electronically. Return the voucher below with your payment.
Mail to:
Department of Revenue Services
State of Connecticut
PO Box 2921
Hartford, CT 06104-2921
Other Payment Options
A. Pay Electronically: Visit to use the Taxpayer Service Center (TSC) to make a direct tax
payment. After logging into the TSC, select the Make Payment Only option and choose a tax type from the
drop down box. Using this option authorizes DRS to electronically withdraw a payment from your bank account
(checking or savings) on a date you select up to the due date. As a reminder, even if you pay electronically,
you must still fi le your return by the due date. Tax not paid on or before the due date will be subject to penalty
and interest.
B. Pay by Credit Card or Debit Card: You may elect to pay your 2013 tax liability using a credit card (American
®
®
®
®
Express
, Discover
, MasterCard
, VISA
) or comparable debit card. A convenience fee will be charged by the
service provider. You will be informed of the amount of the fee and may elect to cancel the transaction. At the
end of the transaction, you will be given a confi rmation number for your records.
There are three ways to pay by credit card or comparable debit card:
Log in to your account in the TSC and select Make Payment by Credit Card;
Visit and select State Payments; or
Call Offi cial Payments Corporation toll-free at 800-2PAY-TAX (800-272-9829) and follow the instructions.
You will be asked to enter the Connecticut Jurisdiction Code: 1777.
Your payment will be effective on the date you make the charge.
Separate here and mail voucher to DRS. Make a copy for your records.
Department of Revenue Services
CT-1040V
CT-1040V
CT-1040V
State of Connecticut
2013 Connecticut Electronic Filing Payment Voucher
(Rev. 12/13)
Your fi rst name
Middle initial
Last name
Your SSN
If a joint return, spouse’s fi rst name
Middle initial
Last name
Spouse’s SSN
Home address (number and street)
PO Box
Check here if this is the
fi rst time you are fi ling a
City or town
State
ZIP code
Connecticut income tax return.
1. Enter the amount enclosed.......................................................................................... 1.
00
Make check payable to Commissioner of Revenue Services.
Write your SSN (optional) and “2013 CT-1040V e-fi le” on your check.
Mail to: DRS, State of Connecticut, PO Box 2921, Hartford CT 06104-2921

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