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MO-1041V                2024 Fiduciary Income Tax Payment Voucher

The MO-1041V voucher is used if you have an amount  How do I make my payment?
due on an electronically filed return, or you do not submit                                  • Attach a check or money order payable to the “Missouri 
payment in full when you file your Fiduciary Income Tax                                      Department  of Reve nue” (U.S. funds  only). The 
Return (Form MO-1041). Your Fiduciary Income Tax                                             Department of Revenue may collect checks returned for 
Return and payment are due no later than the 15th day                                        insufficient or uncollected funds electronically. Do not 
of the fourth month following the end of the income tax                                      send cash.
year.  When the due date falls on a Saturday, Sunday, or 
                                                                                             • Write the name of the estate or trust, Federal Employer 
legal holiday, the return and payment will be considered 
                                                                                             Identification Number, and “2024 MO Fiduciary Income 
timely if filed on the next business day.  Do not use Form 
                                                                                             Tax” on your check or money order. Do not postdate 
MO-1041V for making extension payments, please use the 
                                                                                             your check; it will be cashed upon receipt. Do not submit 
Application for Extension of Time to File (Form MO-60).
                                                                                             electronic payments.
Complete the voucher in its entirety to ensure the payment 
                                                                                             • Detach the payment voucher at the dotted line and 
is applied to the correct account and tax period. On Line 1, the 
                                                                                             mail with your payment to the address listed on Form 
amount of the payment must be entered in whole dollars 
                                                                                             MO-1041V.
and match the amount of the check.

Full payment of taxes must be submitted by April 15, 2025 to avoid interest and addition 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 again electronically.

                                            Please print as shown below in black or dark blue ink.

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                                                                              Federal Privacy Notice
The Federal Privacy Act requires the Missouri Department of Revenue (Department) to inform taxpayers of the Department’s legal authority for requesting identifying information, including social security 
numbers, and to explain why the information is needed and how the information will be used.  
Chapter 143 of the Missouri Revised Statutes authorizes the Department to request information necessary to carry out the tax laws of the state of Missouri. Federal law 42 U.S.C. Section 405 (c)(2)(C) 
authorizes the states to require 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 the correct amount of tax, to  
ensure you are complying with the tax laws, and to exchange tax information with the Internal Revenue Service, other states, and the Multistate Tax Commission (Chapters 32 
and 143, RSMo). In addition, statutorily provided non-tax uses are: (1) to provide information to the Department of Higher Education with respect to applicants for financial  
assistance under Chapter 173, RSMo and (2) to offset refunds against amounts due to a state agency by a person or entity (Chapter 143, RSMo). Information furnished to other 
agencies or persons shall be used solely for the purpose of administering tax laws or the specific laws administered by the person having the statutory right to obtain it [as  
indicated above].  In addition, information may be disclosed to the public regarding the name of a tax credit recipient and the amount issued to such recipient (Chapter 135, RSMo).  (For the Department’s 
authority to prescribe forms and to require furnishing of social security numbers, see Chapters 135, 143, and 144, RSMo.)
You are required to provide your social security number on your tax return. Failure to provide your social security number or providing a false social security number may result in criminal action against you.

     Form                                                                                                                 Reset Form           Print Form
MO-1041V                2024 Fiduciary Income Tax Payment Voucher

Federal Employer Identification Number      Taxable Year Ending (MM/DD/YYYY)  Due Date (MM/DD/YYYY)                      1.  Amount of payment 
                                            __ __ /__ __ /__ __ __ __         __ __ /__ __ /__ __ __ __                      (U.S. funds only) ...............
Name of Estate or Trust 
                                                                                                                          $                                        00
Name and Title of Fiduciary

Address                                                                                                                      Department Use Only
                                                                                                                          *                                        
City                                                    State                 Zip Code 
                                                                                                                          *
Mail to:   Taxation Division                Phone:     (573) 751-1467         E-mail: dor.fiduciary@dor.mo.gov                          Form  MO-1041V (Revised 12-2024)
                P.O. Box 3815               Fax:        (573) 522-1721        Visit dor.mo.gov/taxation/individual/tax-types/fiduciary/ for additional information.
               Jefferson City, MO 65105-3815






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