Form El102 - Maryland Income Tax Payment Voucher For Electronic Filers - 2012
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1Maryland Income Tax Payment
2012
FORM
EL102
Voucher For Electronic Filers
Comptroller of Maryland
Revenue Administration Division
P.O. Box 2601
Annapolis, MD 21404-2601
Taxpayer’s first name and middle initial
Last name
SSN/Taxpayer identification number
Spouse’s first name and middle initial
Last name
SSN/Taxpayer identification number
Present address (number and street)
City or town
State
ZIP code
Amount paid with this voucher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
STOP
If payment is made by electronic funds withdrawal (direct debit) or credit card, do not submit this form.
COM/RAD-096
12-49
Cut along this line and file with your payment
2012
Maryland Income Tax Payment
FORM
EL102
Voucher for Electronic Filers
PAYMENT BY ELECTRONIC FUNDS WITHDRAWAL (direct
PAYMENT BY CHECK OR MONEY ORDER
debit)
If you elected not to pay electronically, make your check or
You may pay the balance due by Electronic Funds Withdrawal
money order payable to the Comptroller of Maryland. It is
(direct debit). To have the funds automatically withdrawn you
recommended that you include your Social Security number on
must complete the direct debit payment option information
check using blue or black ink. Do not use red ink. Write the
when electronically filing the tax return. You must also
type of tax and year of tax being paid on your check.
complete the authorization area on Form EL101.
If you received a notice showing the balance due for tax year
If you elect this option, do not submit Form EL102.
2012, mail your payment with the voucher in the return
envelope or pay your balance due electronically by visiting
OTHER ELECTRONIC PAYMENTS
Otherwise, use Form EL102 to
pay any balance due on your electronically filed tax return.
If your paper or electronic tax return has a balance due, you
may pay electronically at by
Enter the taxpayer identification number (Social Security or
selecting BillPay. The amount that you designate will be
federal employer identification number), name and address in
deducted from your bank or financial institution on the date
the space provided. If this is a joint return, enter both Social
that you choose.
Security numbers and names as they appear on the return.
Write the amount of your payment in the block titled “Amount
If you elect this option, do not submit Form EL102.
paid with this voucher.”
Do not send cash.
ALTERNATIVE PAYMENT METHODS
Do not mail this form with any other document.
For alternative methods of payment, such as a credit card, visit
It must be mailed separately to ensure credit for
STOP
our website at
timely payment.
If you elect this option, do not submit Form EL102.
Mail your completed Form EL102 and payment to:
Comptroller of Maryland
Revenue Administration Division
P.O. Box 2601
Annapolis, MD 21404-2601
COM/RAD-096
12-49
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