L-1040PV                                                                 LANSING                                             202  2RET RPV
                                                              INCOME TAX RETURN PAYMENT VOUCHER

Taxpayer Name:

Social Security No:

Due on or Before:                         4/30/2023 due date of 2022 return*

Payment:                                  $

Payment Method:                           Make payment by check or money order payable to "City of Lansing." Include your social security 
                                          number, daytime phone number, and "2022 L-1040PV" on your check or money order. DO NOT 
                                          SEND CASH. To pay by credit card or direct debit, see income tax website of the City of Lansing. Not 
                                          all cities accept credit card or direct debit payments.  

Paying with Return:                       This payment voucher is not used when including payment with your tax return. When paying with your 
                                          return, place the payment on top of the return in the envelope. Do not attach the check to the return.

Address for Payment:                      City of Lansing Income Tax Department
                                          PO Box 40752 
                                          Lansing, MI  48901

* If the due date falls on a Saturday, Sunday or holiday, the due date is the next business day.

Taxpayer Records:                         Amount Paid: 
                                          Check Number:
                                          Date Mailed: 

        KEEP TOP PORTION FOR YOUR RECORDS.  SEND BOTTOM PORTION WITH YOUR PAYMENT 
                                                                       v   DETACH HERE  v
                                                                                                                             Revised: 10/27/2022
                                                                         LANSING
L-1040PV                                                      INCOME TAX RETURN PAYMENT VOUCHER                              202  2RET RPV
                                                                       Mail To: Lansing Income Tax Department
                                                                         PO Box 40752
NACTP #                                                                  Lansing, MI 48901
EFIN #
Taxpayer's first name, initial, last name                              Taxpayer's SSN

If joint return spouse's first name, initial, last name                If joint payment, spouse's SSN

Present home address (Number and street)                      Apt. no. {2D Barcode of scan line data}

Address line 2 (P.O. Box address for mailing use only)

City, town or post office                               State Zip code

Foreign country name, province/county, postal code                     Amount of tax, interest and penalty you are paying by Round to nearest dollar
                                                                       check or money order                                                         .00