FORM 1040N-V
2024 Nebraska Individual Income Tax Payment Voucher
Your First Name and Middle Initial Last Name Please Do Not Write In This Space

If a Joint Return, Spouse’s First Name and Middle Initial Last Name

Current Mailing Address (Number and Street or PO Box)

City  State ZIP Code Your Social Security Number 
PLEASE PRINT OR TYPE
Daytime Phone Number Amount Remitted Spouse’s Social Security Number 
(      ) 00
Use our safe and secure Nebraska e-pay system to make and manage your 
Nebraska income tax payments. Please visit revenue.nebraska.gov for additional information about e-pay.
If full payment is not made on or before April 15, 2025, the tax due is subject to penalty and interest.
Do not mail this voucher if you are paying electronically. If paying by check or money order, mail this voucher and payment to: 
Nebraska Department of Revenue, PO Box 98903, Lincoln, NE 68509-8903. 8-549-2024
revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729

DRAFT AS OF 7/24/2024 

DO NOT FILE