Form Mi-1040-V - Michigan Individual Income Tax E-File Payment Voucher - 2012

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Instructions for Form MI-1040-V
2012 Michigan Individual Income Tax e-file Payment Voucher
Mail this form with payments for e-file returns only. Do not file with your paper return.
Important Information
Mailing Instructions
Mail Form MI-1040-V with your payment after you e-file
Make your check payable to the “State of Michigan.”
your MI-1040 return.
Print your Social Security number and “2012
MI-1040-V” on the front of your check. If paying on
Do not use this voucher to make any other payments to
behalf of another taxpayer, write the taxpayer’s name
the State of Michigan.
and Social Security number on the check. To ensure
accurate processing of your return, send one check for
Enter on Form MI-1040-V below the tax due as shown on
each return type.
your MI-1040 Individual Income Tax Return, line 32.
Detach Form MI-1040-V along the dotted line.
Your payment and MI-1040-V are due April 15, 2013. If
Do not attach your payment to Form MI-1040-V.
your payment is late, Treasury will send you a bill for the
amount due and add a penalty of 5 percent of the tax due for
Instead, place both items loose in the envelope and
the first two months, then 5 percent for each month thereafter
mail to:
until full payment is received. Maximum late penalty is 25
Michigan Department of Treasury
percent of the balance of tax due. If you pay late, you must
P.O. Box 30774
add penalty and interest to the amount due. The annual
Lansing, MI 48909-8274
interest rate is 1 percent above the current prime rate. The
Do not attach a copy of your return to the MI-1040-V.
rate is adjusted on July 1 and January 1. For current interest
Attaching a copy of your return will delay the
rates, visit our Web site at for a
application of payment to your account.
copy of Revenue Administrative Bulletins.
Do not write notes on the MI-1040-V or submit the
If you do not owe any tax on your e-filed MI-1040, do not
voucher without payment.
file this form.
If you have questions, you may call (517) 636-4486.
Assistance is available using TTY through the Michigan
Relay Service by calling 1-800-649-3777 or 711 .
Visit Treasury’s Web site at
Mail this form with payment for your e-file return. Do not file with your paper return.
#
Detach here and mail with your payment. Do not fold or staple the voucher.
Michigan Department of Treasury (Rev. 02-12)
2012 MICHIGAN Individual Income Tax e-file Payment Voucher
MI-1040-V
Issued under authority of Public Act 281 of 1967. See instructions for filing guidelines.
Reset Form
Mail Form MI-1040-V with your payment after you e-file your MI-1040 return.
Do not use this form to make any other payments to the State of Michigan.
Filer’s Name(s) (First, Middle Initial, Last) and
Filer’s Social Security Number
Spouse’s Social Security Number
Home Address (Street, City, State, ZIP Code)
WRITE PAYMENT
a $
.00
AMOUNT HERE
MAIL TO:
Make
check
payable
to
“State
of
Michigan.” Write your Social Security
Michigan Department of Treasury
“2012
MI-1040-V”
P.O. Box 30774
number
and
on
Lansing, MI 48909-8274
the
check.
Do
not
fold
or
staple.
DO NOT WRITE IN THIS SPACE

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