Form 1040-V

Form 1040-V Page 2 IF you live in ... THEN use this address to send in your payment ... Florida, Louisiana, Mississippi, Texas Internal Revenue Service P.O. Box 1214 Charlotte, NC 28201-1214 Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming Internal Revenue Service P.O. Box 7704 San Francisco, CA 94120-7704 Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Wisconsin Internal Revenue Service P.O. Box 802501 Cincinnati. OH 45280-2501 Alabama, Georgia, Kentucky, New Jersey, North Carolina, South Carolina, Tennessee, Virginia Internal Revenue Service P.O. Box 931000 Louisville. ICY 40293-1000 Delaware, Maine, Massachusetts, Missouri, New Hampshire, New York, Vermont Internal Revenue Service P.O. Box 37008 Hartford, CT 06176-7008 Connecticut, District of Columbia, Maryland, Pennsylvania, Rhode Island, West Virginia Internal Revenue Service P.O. Box 37910 Hartford, CT 06176-7910 A foreign country, American Samoa, or Puerto Rico (or are excluding income under Internal Revenue Code 933), or use an APO or FPO address, or file Form 2555, 2555-EZ, or 4563, or are a dual-status alien or nonpermanent resident of Guam or the U.S. Virgin Islands. Internal Revenue Service P.O. Box 1303 Charlotte, NC 28201-1303 ♦ Detach Horo and Mail With Your Payment and Return • row) 1040-V Department of the Treasury Internal Revenue Service (99) G Use this voucher when snaking a payment with Form 1040. G Do not staple this voucher or your payment to Form 1040. G Make your cheek cy money order payable to the 'United slates Treasury.' G Write your social securely number (55N) on your cheek or money order. Form 1040-V Payment Voucher Enter the amount of your payment ci EFTA01222571