Tc-40 Forms And Instructions - Individual Income Tax Page 31
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3129
Utah State Tax Commission
TC-547
Individual Income Tax Return Payment Coupon
Rev. 12/11
USE OF PAYMENT COUPON
Print your name and address, daytime telephone number
and the year the payment is for on your check or money
If you have a tax due balance on your Utah individual
order.
income tax return and you have previously filed your return
(either electronically or by paper) without a payment,
include the payment coupon below with your check or
SENDING PAYMENT COUPON
money order to insure proper credit to your account
.
Do
If sending this payment coupon separate from your
not mail another copy of your income tax return with this
individual income tax return, do
NOT
mail another copy of
payment. Sending a duplicate of your return may
your return with this payment.
delay posting of the payment.
Complete and detach the payment coupon below.
If you are sending a payment with your paper Utah
individual income tax return, include the payment coupon
Do not attach (staple, paper clip, etc.) the check or money
below with your check or money order, to insure proper
order to the payment coupon.
credit to your account.
Send the payment coupon and payment to:
Do not use this return payment coupon to prepay future
individual income taxes. Use form TC-546.
Utah State Tax Commission
210 N 1950 W
ELECTRONIC PAYMENT
Salt Lake City, UT 84134-0266
You may pay your tax online at
taxexpress.utah.gov
.
HOW TO PREPARE THE PAYMENT
Make your check or money order payable to the Utah State
Tax Commission. Do not send cash. The Tax Commission
does not assume liability for loss of cash placed in the
mail.
SEPARATE AND RETURN ONLY THE BOTTOM COUPON WITH PAYMENT. KEEP TOP PORTION FOR YOUR RECORDS.
TC-547
Individual Income Tax
Mail to: Utah State Tax Commission, 210 N 1950 W, SLC UT 84134-0266
Rev. 12/11
Return Payment Coupon
I
Social Security no.
Primary taxpayer name
I
Tax year ending
T
Secondary taxpayer name
Social Security no.
0
0
USTC Use Only
Address
4
State
Zip code
City
00
Payment amount enclosed
$
Make check or money order payable to the Utah State Tax Commission.
Do not send cash. Do not staple check to coupon. Detach check stub.
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