Form 1040 V – Fill Out and Use This PDF

2010 Form 1040-V

Department of the Treasury

Internal Revenue Service

What Is Form 1040-V and Do You Have To Use It?

It is a statement you send with your check or money order for any balance due on the “Amount you owe” line of your 2010 Form 1040, Form 1040A, or Form 1040EZ. Using Form 1040-V allows us to process your payment more accurately and efficiently. We strongly encourage you to use Form 1040-V, but there is no penalty if you do not.

How To Fill In Form 1040-V

Line 1. Enter your social security number (SSN). If you are filing a joint return, enter the SSN shown first on your return.

Line 2. If you are filing a joint return, enter the SSN shown second on your return.

Line 3. Enter the amount you are paying by check or money order.

Line 4. Enter your name(s) and address exactly as shown on your return. Please print clearly.

•Enter your daytime phone number and your SSN on your check or money order. If you are filing a joint return, enter the SSN shown first on your return. Also enter “2010 Form 1040,” “2010 Form 1040A,” or “2010 Form 1040EZ,” whichever is appropriate.

•To help us process your payment, enter the amount on the right side of your check like this: $ XXX.XX. Do not use dashes or lines (for example, do not enter “$ XXX—” or “$ XXX xx/100”).

How To Send In Your 2010 Tax Return, Payment, and Form 1040-V

•Detach Form 1040-V along the dotted line.

•Do not staple or otherwise attach your payment or Form 1040-V to your return or to each other. Instead, just put them loose in the envelope.

•Mail your 2010 tax return, payment, and Form 1040-V to the address shown on the back that applies to you.

Form	1040-V

Department of the Treasury Internal Revenue Service (99)

Payment Voucher

▶Do not staple or attach this voucher to your payment or return.

OMB No. 1545-0074

2010

	1	Your social security number (SSN)	2 If a joint return, SSN shown second		3 Amount you are	Dollars
			on your return		paying by check
					or money order
or type	4	Your first name and initial		Last name
		If a joint return, spouse’s first name and initial		Last name
Print		Home address (number and street)

City, town or post office, state, and ZIP code (If a foreign address, enter city, province or state, postal code, and country.)

For Paperwork Reduction Act Notice, see your tax return instructions.

Cents

Apt. no.

Cat. No. 20975C