DO NOT WRITE OR STAPLE IN THIS AREA
               DELAWARE DIVISION OF REVENUE
2022           Electronic Filer Payment Voucher
               Fiduciary Form 400-V
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                                    2. Fiscal Year End           3. Amount of the payment you are making

                                              MM       DD 2022  $

4. Preparer’s Business Phone Number 5. Name(s)

                                         Address

                                         City                    State                 Zip Code

(Rev 0 /4 2022)

                                                          *DF65222019999*
                                                                 DF65222019999

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