HIGHLAND PARK
2020 RET RPV
INCOME TAX RETURN PAYMENT VOUCHER
Taxpayer Name:
Social Security No:
Due on or Before: 4/30/2021
Payment:
$
Payment Method:
order. DO NOT SEND CASH. To obtain additional copies of this form (or other forms), see the income
This payment voucher is not used when mailing a payment with your tax return. When paying with your
return, place the payment on top of the return in the envelope. Do not attach the check to the return.
Paying with Return:
Address for Payment:
City of Highland Park Income Tax
PO Box 239
Eaton Rapids MI 48827
Taxpayer Records:
Amount Paid:
Check Number:
Date Mailed:
KEEP TOP PORTION FOR YOUR RECORDS. SEND BOTTOM PORTION WITH YOUR PAYMENT
v DETACH HERE v
HIGHLAND PARK
INCOME TAX RETURN PAYMENT VOUCHER
Mail To: Highland Park Income Tax Department
Revised: 3/3/20
2020 RET RPV
PO Box 239
NACTP #
Eaton Rapids, MI 48827
EIN #
Taxpayer's first name, initial, last name Taxpayer's SSN
If joint return spouse's first name, initial, last name If joint payment, spouse's SSN
Present home address (Number and street) Apt. no. {2D Barcode of scan line data}
Address line 2 (P.O. Box address for mailing use only)
City, town or post office State Zip code
Foreign country name, province/county, postal code
Amount of tax, interest and penalty you are paying by check or
money order
Round to nearest dollar
.00
HP-1040PV
Make payment by check or money order payable to "City of Highland Park." Include the last four digits of
of your social security number, daytime phone number, and "2020 HP-1040PV" on your check or money
tax website of the City of Highland Park (go to www.highlandparkmi.gov - click on Business, click on
Income Tax, click on the tax forms link on the left).
HP-1040PV
