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Ever served on active duty in the United States Armed Forces?
Form If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all
MO-1040V 2023 Individual Income Tax Payment Voucher eligible military individuals. A list of all state agency resources and benefits can
be found at veteranbenefits.mo.gov/state-benefits/.
What Is Form MO-1040V and Why Should I Use It? How Do I Make My Payment?
Form MO-1040V, Individual Income Tax Payment Voucher, is the • Make your check or money order payable to the “Missouri
voucher you send with your payment when you do not make the Department of Reve nue.” Do not send cash. Do not postdate your
payment with your income tax return. It is similar to vouchers returned check; it will be cashed upon receipt. The Department of Revenue
with loan, utility, and credit card payments. Form MO-1040V ensures may collect on checks returned for insufficient or uncollected funds
that your payment will be processed more efficiently and accurately. electronically. (U.S. funds only)
Form MO-1040V allows you to file your completed income tax return • Write your name, address, SSN, daytime telephone number, and
and send your payment at a later date. Your income tax return and “2023 MO Income Tax” on your check or money order.
payment are due no later than April 15, 2024. • Detach the payment voucher at the perforation, and mail with your
When Should I Use Form MO-1040V? payment. Do not mail a copy of your previously filed return.
If you have an amount due on an electronically filed return, or do not • Please mail your Form MO-1040V and payment to:
submit payment in full when you file your income tax return, send Missouri Department of Revenue
Form MO-1040V with your payment. DO NOT use Form MO-1040V P.O. Box 371
for making extension payments. Please use Form MO-60 or visit our Jefferson City, MO 65105-0371
website to pay online. Please print as shown below in black or dark blue ink. Do not use
How Do I Fill In the Payment Voucher? red ink or pencil.
Complete the name(s) and address block. 1 2 3 4 A B C D
• Social Security Number - Enter your social security number (SSN).
If you are filing a combined return, enter your and your spouse’s
SSN(s) in the order they appear on the return; placing your Federal Privacy Act Notice
spouse’s SSN in the appropriate field below. Section 143.961, RSMo, authorizes the Department to require the reporting of information
• Name Control - Enter the first four letters of your last name. deemed necessary to enforce the income tax law of the state of Missouri. Section 143.961,
RSMo, is also made applicable to the property tax credit for procedural matters pursuant
See examples. If you are filing a combined return, enter your to Section 135.015, RSMo. 42 U.S.C. Section 405(c)(2)(C) authorizes the states to require
and your spouse’s name control in the order they appear on the taxpayers to provide social security numbers. The Department uses your social security number
to identify you and process your tax returns and other documents, to determine and collect
return, placing your spouse’s name control in the appropriate the correct amount of tax, to ensure you are complying with the tax laws, to offset tax refunds
field below. against certain other tax liabilities or amounts due to a state agency, and where permitted
or required by law, to exchange tax information with the Internal Revenue Service, other
Name Enter states, other state agencies, and the Multistate Tax Commission (see Chapters 32, 143, and
John Brown BROW 610, RSMo). It is mandatory that you provide your social security number on your tax return.
Juan De Jesus DEJE Failure to provide your social security number may result in additional request(s) to you from
the Department and may also result in the complete or partial denial of a refund or tax credit
Joan A. Lee LEE Please use capital claimed on or with the return. (For further information about the Department’s authority to
Jean McCarthy MCCA letters as shown. prescribe forms and to require furnishing of social security numbers, see Chapters 135 and 143,
John O’Neill ONEI RSMo.)
Pedro Torres-Lopez TORR }
• Amount of Payment - Enter the amount of your payment in whole
dollars.
Reset Form Print Form
Social Security
2023 Individual Income Tax Number - -
Payment Voucher (Form MO-1040V)
Name Control ..................................
Please print. Make check payable to Missouri Department of Revenue. Mail Form
MO-1040V and payment to the Missouri Department of Revenue, P.O. Box 371, Spouse’s Social
Jefferson City, MO 65105-0371. Security Number - -
Name
Spouse’s Name Control . . . . . . . . . . . . . . . . . . . . . . . . . .
Spouse’s Name Amount of Payment
(U.S. funds only)............. $ .
Street Address
*23347010001*
City State ZIP Code 23347010001
Full payment of taxes must be submitted by April 15, 2024 to avoid interest and Department Use Only .
additions to tax for failure to pay. If you pay by check, you authorize the Department
of Revenue to process the check electronically. Any returned check may be presented Department Use Only
again electronically.
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