2016
Form 1040-V
Department of the Treasury
Internal Revenue Service
What Is Form 1040-V
It’s a statement you send with your check or money order
for any balance due on the “Amount you owe” line of your
2016 Form 1040, Form 1040A, Form 1040EZ, or Form
1040NR.
Consider Making Your Tax Payment
Electronically—It’s Easy
You can make electronic payments online, by phone, or
from a mobile device. Paying electronically is safe and
secure. When you schedule your payment you will receive
immediate confirmation from the IRS. Go to IRS.gov/
payments to see all your electronic payment options.
How To Fill In Form 1040-V
Line 1. Enter your social security number (SSN).
If you are filing a joint return, enter the SSN shown first
on your return.
Line 2. If you are filing a joint return, enter the SSN shown
second on your return.
Line 3. Enter the amount you are paying by check or
money order. If paying at IRS.gov don't complete this
form.
Line 4. Enter your name(s) and address exactly as shown
on your return. Please print clearly.
How To Prepare Your Payment
• Make your check or money order payable to “United
States Treasury.” Don’t send cash. If you want to pay in
cash, in person, see Pay by cash.
• Make sure your name and address appear on your
check or money order.
• Enter your daytime phone number and your SSN on your
check or money order. If you have an Individual Taxpayer
Identification Number (ITIN), enter it wherever your SSN is
requested. If you are filing a joint return, enter the SSN
shown first on your return. Also enter “2016 Form 1040,”
“2016 Form 1040A,” “2016 Form 1040EZ,” or “2016 Form
1040NR,” whichever is appropriate.
• To help us process your payment, enter the amount on
the right side of your check like this: $ XXX.XX. Don’t use
dashes or lines (for example, don't enter “$ XXX—” or
“$ XXX
xx
/100”).
No checks of $100 million or more accepted. The IRS
can’t accept a single check (including a cashier’s check)
for amounts of $100,000,000 ($100 million) or more. If you
are sending $100 million or more by check, you will need
to spread the payments over two or more checks, with
each check made out for an amount less than $100 million.
Pay by cash. This is a new in-person payment option for
individuals provided through retail partners with a
maximum of $1,000 per day per transaction. To make a
cash payment, you must first be registered online at
officialpayments.com/fed, our Official Payment provider.
How To Send In Your 2016 Tax Return,
Payment, and Form 1040-V
• Don’t staple or otherwise attach your payment or Form
1040-V to your return. Instead, just put them loose in the
envelope.
• Mail your 2016 tax return, payment, and Form 1040-V to
the address shown on the back that applies to you.
How To Pay Electronically
Pay Online
Paying online is convenient, secure, and helps make sure we
get your payments on time. You can pay using either of the
following electronic payment methods. To pay your taxes
online or for more information, go to IRS.gov/payments.
Direct Pay
Pay your taxes directly from your checking or savings
account at no cost to you. You receive instant
confirmation that your payment has been made, and you
can schedule your payment up to 30 days in advance.
Debit or Credit Card
The IRS doesn’t charge a fee for this service; the card
processors do. The authorized card processors and their
phone numbers are all on IRS.gov/payments.
Cat. No. 20975C
Form 1040-V (2016)
Detach Here and Mail With Your Payment and Return
Form
1040-V
Department of the Treasury
Internal Revenue Service (99)
Payment Voucher
Do not staple or attach this voucher to your payment or return.
OMB No. 1545-0074
2016
Print or type
1 Your social security number (SSN)
(if a joint return, SSN shown first on your return)
2 If a joint return, SSN shown second
on your return
3 Amount you are paying by check or
money order. Make your check or
money order payable to “United
States Treasury”
Dollars Cents
4 Your first name and initial Last name
If a joint return, spouse’s first name and initial Last name
Home address (number and street) Apt. no.
City, town or post office, state, and ZIP code (If a foreign address, also complete spaces below.)
Foreign country name Foreign province/state/county Foreign postal code
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 20975C
Form 1040-V (2016)
Page 2
IF you live in . . . THEN use this address to send in your payment . . .
Florida, Louisiana, Mississippi, Texas
Internal Revenue Service
P.O. Box 1214
Charlotte, NC 28201-1214
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada,
New Mexico, Oregon, Utah, Washington, Wyoming
Internal Revenue Service
P.O. Box 7704
San Francisco, CA 94120-7704
Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota,
Montana, Nebraska, North Dakota, Ohio, Oklahoma,
South Dakota, Wisconsin
Internal Revenue Service
P.O. Box 802501
Cincinnati, OH 45280-2501
Alabama, Georgia, Kentucky, New Jersey, North Carolina,
South Carolina, Tennessee, Virginia
Internal Revenue Service
P.O. Box 931000
Louisville, KY 40293-1000
Connecticut, Delaware, District of Columbia, Maine, Maryland,
Massachusetts, Missouri, New Hampshire, New York,
Pennsylvania, Rhode Island, Vermont, West Virginia
Internal Revenue Service
P.O. Box 37008
Hartford, CT 06176-7008
A foreign country, American Samoa, or Puerto Rico (or are
excluding income under Internal Revenue Code 933), or use an
APO or FPO address, or file Form 2555, 2555-EZ, or 4563, or are
a dual-status alien or nonpermanent resident of Guam or the U.S.
Virgin Islands.
Internal Revenue Service
P.O. Box 1303
Charlotte, NC 28201-1303