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                                                                                                          Department of the Treasury 
2021 Form 1041-V                                                                                          Internal Revenue Service
                                                      ▶ Go to www.irs.gov/Form1041V for the latest information.
Any reference in these instructions to “you” means the                                • Write the estate’s or trust’s EIN and “2021 Form 1041” 
fiduciary of the estate or trust.                                                     on the check or money order.
What Is Form 1041-V and Do You Have To                                                • To help us process the payment, enter the amount on 
                                                                                      the right side of the check like this: $ XXX.XX. Don’t use 
Use It?                                                                               dashes or lines (for example, don’t enter “$ XXX—” or 
It is a statement you send with a check or money order                                “$ XXX xx/100”).
for any balance due on line 28 (Tax due) of the estate’s or 
trust’s 2021 Form 1041. Using Form 1041-V allows us to                                No Checks of $100 Million or More Accepted
process the payment more accurately and efficiently. We                               The IRS can’t accept a single check (including a cashier’s 
strongly encourage you to use Form 1041-V, but there is                               check) for amounts of $100,000,000 ($100 million) or 
no penalty if you don’t.                                                              more. If you’re sending $100 million or more by check, 
You may choose to pay any balance due electronically.                                 you’ll need to spread the payments over two or more 
If you do, you don’t need to send in Form 1041-V. For                                 checks with each check made out for an amount less 
more information about electronic payment options, go to                              than $100 million. The $100 million or more amount limit 
www.irs.gov/E-Pay.                                                                    doesn’t apply to other methods of payment (such as 
                                                                                      electronic payments), so please consider paying by 
How To Fill In Form 1041-V                                                            means other than checks. 
Line 1. Enter the estate’s or trust’s employer identification                         How To Send In the Estate’s or Trust’s 2021 
number (EIN) as shown on its return.
                                                                                      Tax Return, Payment, and Form 1041-V
Line 2. Enter the amount you are paying by check or 
money order.                                                                          • Detach Form 1041-V along the dotted line.
Line 3. Enter the name of the estate or trust.                                        • Don’t staple or otherwise attach the payment or Form 
                                                                                      1041-V to the return or to each other. Instead, just put 
Line 4. Enter your name and title.                                                    them loose in an envelope.
Line 5. Enter your address exactly as shown on the                                    • Mail the estate’s or trust’s 2021 tax return, payment, 
estate’s or trust’s return. Please print clearly.                                     and Form 1041-V to the address shown on the back that 
                                                                                      applies to you.
How To Prepare the Payment
• Make the check or money order payable to “United  
States Treasury.” Don’t send cash.
• Make sure the name of the estate or trust appears on 
the check or money order.

Cat. No. 54561M                                                                                                                  Form 1041-V (2021)

                                                      ▼ Detach Here and Mail With Your Payment and Return ▼

                                                                                                                         OMB No. 1545-0092
                                                               Payment Voucher
                       Form1041-V
                                                     ▶
                       Department of the Treasury      Make your check or money order payable to “United States Treasury”
                       Internal Revenue Service (99)  ▶ Don’t staple or attach this voucher to your payment or return.   2021
                       1  Employer identification number (EIN)                               2 Amount you are            Dollars Cents
                                                                                                paying by check 
                                                                                                or money order
                       3  Name of estate or trust

                       4  Name and title of fiduciary

         Print or type 5  Address of fiduciary (number, street, and room or suite no.)

                           City, state, and ZIP code 

        For Paperwork Reduction Act Notice, see the Instructions for Form 1041.                                                  Cat. No. 54561M



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Form 1041-V (2021)                                                                            Page 2
Where To File

                   If you are located in                           Please mail to the   
                   ▼                                               ▼  
Connecticut, Delaware, District of Columbia, Georgia, Illinois,    Department of the Treasury 
Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan,       Internal Revenue Service 
New Hampshire, New Jersey, New York, North Carolina, Ohio,         Kansas City, MO 64999-0148
Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, 
Virginia, West Virginia, Wisconsin

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Department of the Treasury                                   
Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi,    Internal Revenue Service                                       
Missouri, Montana, Nebraska, Nevada, New Mexico, North             Ogden, UT 84201-0148
Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, 
Washington, Wyoming

A foreign country or a U.S. possession                             Internal Revenue Service                               
                                                                   P.O. Box 409101                                               
                                                                   Ogden, UT 84409






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