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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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