Form 4-Epv - Wisconsin Corporation Electronic Payment Voucher
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1Form 4-EPV
voucher at the bottom
Use voucher at bottom ONLY to submit the balance due for an electronically filed
corporation income or franchise tax return, including ONLY:
•
•
•
Form 4
Form 5
Form 5S
Form 4-EPV
Use of the personalized Form 4-EPV voucher below will ensure that your tax payment will be
timely posted and to the correct account.
• Do not print a blank voucher to complete by hand. Enter your data on this voucher online.
The numeric string of numbers will then change to reflect your personal information
(identifying number and amount).
•Cut on the dotted line only. Do not cut off the string of numbers at the bottom of the voucher.
• Use the correct year voucher. This voucher is for
. Do not use this voucher for a
different year by crossing out
and writing in a different year. This will cause your
payment to be credited to the wrong year.
•Send your payment to the address shown on the voucher. Do not attach any other forms or
instruction sheets to the voucher.
Do NOT use this voucher to submit the balance due on any individual income tax return, pass- through entity
withholding return, composite individual income tax return, partnership recycling surcharge return, or any return form
not listed in the box above.
For estimated payments of pass-through entity withholding (Form PW-1), use form PW-ES.
Do NOT use this voucher for corporation quarterly estimated payments. Use Form 4-ES instead.
Use Adobe Reader v. 9 (or later)
for this voucher to print accurately.
IMPORTANT
In the Page Handling section of the print dialog box that appears after
clicking on the Print button:
Must print voucher at 100%
1) Set Page Scaling to None to print the voucher at 100%
(See instructions at right)
2) Uncheck the "Auto-Rotate and Center" checkbox
Print
Clear
Save
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Wisconsin Corporation Electronic Payment Voucher
Make check payable to and mail to:
Wisconsin Department of Revenue
Use this form only if your taxable year begins in
Box 930208
4-EPV
Milwaukee WI 53293-0208
Person to contact regarding payment:
Phone number:
This tax payment is for:
No hyphen in FEIN,
Federal Employer ID Number
enter numbers only
Corporation Name
Fiscal year beginning
Short taxable year
Number and Street
beginning
; ending
You are required to make your payment electronically if your net tax less
refundable credits on your prior year’s return was $1,000, or more.
City
State
Zip Code
Amount of Payment $
.
Please do not staple your payment to this voucher.
DC-105 (R. 8-10)
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Parent category: Financial