1350                                           STATE OF SOUTH CAROLINASTATE OF SOUTH CAROLINA
                                                  DEPARTMENT OF REVENUEDEPARTMENT OF REVENUE             SC1041-V
                                                                                                         (Rev. 8/13/19)
    dor.sc.gov                        FIDUCIARY INCOME TAX PAYMENT VOUCHER                                    3720

If you owe $15,000 or more in connection with any SCDOR return, you must file and pay electronically according to 
SC Code Section 12-54-250. 
 
Pay online using our free tax portal, MyDORWAY, at  dor.sc.gov/pay. Select Business Income Tax Payment to get 
started. Do not mail the SC1041-V if you pay online.

                                                   INSTRUCTIONS  
                                                     
    1.  Use only black ink on this form and on your check.  
    2.  Enter your Federal Employer Identification Number (FEIN). 
    3.  Enter the Fiduciary tax period ending in the MM-YY format. 
    4.  Enter your name and address. 
    5.  Enter the payment amount from your SC1041 in whole dollars without a dollar sign. (example: 154.00) 
    6.  If you filed your return electronically with a balance due, do not mail a copy of your return with the SC1041-V. 
    7.  If you paper filed your SC1041 with a balance due, submit payment with your return. Do not mail payment 
    separately with the SC1041-V. 
    8.  Make your check payable to SCDOR. Include the FEIN, tax year, and "SC1041-V" in the memo. 
    9.  Mail your SC1041-V and payment in one envelope. Staple the SC1041-V to the payment. 
                                                     
The total amount of tax due must be paid in full.  
Failure to file the return and pay the tax due by the original due date will result in penalties and interest until the return 
is filed and the tax is paid. 
 
Mail your SC1041-V and payment to: 
 
SCDOR 
Fiduciary Income Tax Payment 
PO Box 125 
Columbia, SC 29214-0038

                                                    cut along dotted line

    1350                                                                                                 SC1041-V
                                                   SC DEPARTMENT OF REVENUE                              (Rev. 8/13/19)
 dor.sc.gov                           FIDUCIARY INCOME TAX PAYMENT VOUCHER                                    3720
           Fiduciary FEIN             Fiduciary Tax period ending (MM-YY)

Name and address 
                                                                                                 Payment 
                                                                                                  amount
                                                                                                                       . 00

Pay online using our free tax portal, MyDORWAY, at dor.sc.gov/pay. If mailing your payment, do not send cash. Make check 
payable to SCDOR and include your business name, FEIN, and "SC1041-V" in the memo.

    37201019