Form 1040Me Pv – Fill Out and Use This PDF

		Form 1040ME-PV	99
		Maine Individual Income Tax	*1002109*
		Payment Voucher
		2010
	Your First Name	Initial	Your Social Security Number

Your Last Name

Spouse’s Social Security Number

Home Address (number, street and apt. no.)

City/TownState Zip Code

Amount paid with this voucher

,

. 00

MAINE EZ PAY

You may pay your income tax electronically at WWW.MAINE.GOV/REVENUE. Electronic payments eliminate the necessity of filing forms 1040ME-PV (income tax payment vouchers).

Maine EZ Pay is an online application that allows Maine taxpayers to make payments online, quickly and easily. To avoid having to make payments earlier than necessary, payments may be scheduled in advance and will automatically be withdrawn on the payment date the taxpayer selects.

Taxpayers must pre-register online with personal and bank account information, and payments will be withdrawn from the checking or savings account that is set up in the registration. For more information, see www.maine.gov/revenue (click on Electronic Services).

To mail your payment, follow the instructions below.

Use this voucher only for Maine individual income tax that is due on your electronically fi led tax return.

Enter your name(s), social security number(s), telephone number and address in the spaces provided. If you are filing a joint return, enter your names and social security numbers in the same order as they appear on your return.

Enter the amount of your check or money order in the space provided.

Make checks payable to “Treasurer, State of Maine.”

Mail your completed payment voucher and payment to:

Maine Revenue Services

PO Box 9101

Augusta, ME 04332-9101