Electronic Funds Transfer (Eft) Authorization - Minnesota Department Of Revenue (Page 6 of 15) in pdf

Quarterly or monthly payment options

If you are required to or want to pay your tax electronically through EFT, you may choose to pay by

Internet or by telephone. Both options are available 24 hours a day.

If you are not required to pay electronically, you may pay by Internet, by telephone or by check.

By Internet (EFT)

By Telephone (EFT)

There is no need to register in advance before making

If you are currently registered to pay your

an EFT payment using the Internet payment method.

MinnesotaCare taxes by EFT, refer to the EFT instruc-

tion booklet you received from the department to pay

your tax using the telephone payment method.

How to pay

Complete the worksheet on page 11, OR estimate

Before you can use the telephone payment method,

you must first be registered to pay your

the amount of tax you owe for the period.

MinnesotaCare taxes by EFT. To register, complete

and return the EFT authorization form on page 13.

Go to the department website at:

When you complete the form, you must choose to pay

your tax using either the ACH debit method or the

ACH credit method. Also, be sure to check the appro-

Click on Businesses and follow the links to electroni-

priate tax type(s).

cally pay your MinnesotaCare taxes.

ACH debit method. You make the arrangements to

have the amount you owe automatically withdrawn

Follow the instructions on the computer screen. If

from your bank account on the date you specify.

you are not currently registered to pay by EFT, you

will be asked to provide (see sample check below):

ACH credit method. You make arrangements with your

bank to transmit the tax you owe to the department on

the routing number of your bank,

the date you specify. Contact your bank first to make

the account number of the checking or savings

sure it offers ACH origination services and to make the

account from which you want to pay your tax,

arrangements. You will be required to pay any transaction

and

fees that your bank may charge.

the date you want the tax amount taken from

your account.

Once you are registered, you will receive a confirma-

tion letter and an EFT instruction booklet with all the

For your records, you may record your payment

information you need to pay your tax by EFT.

information at the bottom of your worksheet and on

the record of tax payments on page 12.

Paying by check

If you are not required to pay by EFT, you may choose to

Discard any payment voucher you may have

send your tax payment in the mail.

received for this quarter or month. Do not mail the

payment voucher to the department.

A payment voucher is required for all tax payments

received by the department in the form of a check or

money order. If you are not required to pay by EFT, a

payment voucher (Form MC-10) and a preaddressed

1234

MinnesotaCare Taxpayer

1234 Main Street

15-0000/0000

envelope will be sent to you automatically. If you do

Anytown, MN 55000

Pay to the

not have Form MC-10, call us at 651-282-5533 or 1-800-

Order of

657-3886 to request a copy.

DOLLARS

Anywhere Bank

Mail your check with the original Form MC-10 — do not

Anyplace, U.S.A.

use a photocopy — using the preaddressed envelope.

Non negotiable

Memo

If you do not have the envelope, send your payment

090000000

11111111111111

1234

and Form MC-10 to: Minnesota Department of Rev-

Routing

Account number

(If the account number includes letters

enue, Mail Station 6100, St. Paul, MN 55146-6100.

number

of the alphabet, you cannot use the direct payment method.)

If you do not owe any tax or you are paying electroni-

cally, please discard the payment voucher.

Electronic Funds Transfer (Eft) Authorization - Minnesota Department Of Revenue Page 6

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