If no payment is due, do not file this form.

           We encourage you to pay electronically at mytax.illinois.gov. If you make your payment 
           electronically do not file this form. 

           If you do not elect to pay electronically, pay the amount you owe on your Form IL-1040-X, 
           Amended Individual Income Tax Return, using the IL-1040-X-V at the bottom of this page. 
           Complete the IL-1040-X-V below and send it, along with your payment, to the address on 
           the voucher.

           Important: Do not redact Social Security Number(s) as this can cause processing delays.

                                                                                          This form is authorized as outlined under the Illinois Income Tax Act.  Disclosure of 
 IL-1040-X-V (R-12/22) Printed by authority of the State of Illinois, web only-1.         this information is required.  Failure to provide information could result in a penalty.

           Illinois Department of Revenue

           2022 IL-1040-X-V                                                                       Reset      Print
 (R-12/22) Payment Voucher for Amended Individual Income Tax   

             –     –                               –                                –  
 Your Social Security number       Spouse’s Social Security number 
                                                                                          $                  .
                                                                                           Payment amount
                                                                                          Make    your check payable to and mail to
 Your first name and initial     Spouse’s first name and initial           Your last name ILLINOIS DEPARTMENT OF REVENUE
                                                                                          PO BOX 19007
 Street address                                                                           SPRINGFIELD IL 62794-9007
                                                                                          Write your Social Security number(s) on your check.

 City                        State                    ZIP

                                                                                          *66012221W*