0401130094
New York State Department of Taxation and Finance
Instructions for Form IT-201-V
Payment Voucher for Income Tax Returns
IT-201-V
(9/13)
How to use this form
If you are paying New York State income tax by check or
money order, you must include Form IT-201-V with your
payment.
Check or money order
• MakeyourcheckormoneyorderpayabletoNew York
State Income Tax.
• Besuretowriteyoursocialsecuritynumber,thetaxyear,
and Income Tax on it.
Completing the voucher
Besuretocompleteall information on the voucher.
• Iflingajointreturn,includeinformationforbothspouses.
• Foreignaddress–Enterthecity,province,orstateallin
the City box, and the full country name in the Country box.
Enterthepostalcode,ifany,intheZIP code box.
• DonotstapleorclipyourpaymenttoFormIT-201-V.
Instead,justputthemlooseintheenvelope.
Mailing address
E-led and previously led returns
Ifyoue-ledyourincometaxreturn,orifyouaremakinga
paymentforapreviouslyledreturn,mailthevoucherand
payment to:
NYS PERSONAL INCOME TAX
PROCESSING CENTER
PO BOX 4124
BINGHAMTON NY 13902-4124
Paper returns
Ifyouarelingapaperincometaxreturn(includingamended
returns), include the voucher and payment with your return
and mail to this address:
STATE PROCESSING CENTER
PO BOX 15555
ALBANY NY 12212-5555
IfyouarenotusingU.S.Mail,besuretoconsult
Publication 55, Designated Private Delivery Services.
IT-201-V
(9/13)
Yourrstnameandmiddleinitial Yourlastname
(for a joint return, enter spouse’s name on line below)
Your social security number (SSN)
Spouse’s
rstnameandmiddleinitial
Spouse’s last name Spouse’s SSN (enter only if ling a joint return)
Mailingaddress Apartmentnumber Country(if not United States)
City,villageorpostofce State ZIPcode
New York State Department of Taxation and Finance
Payment Voucher for Income Tax Returns
Pay online:Beforemailinginyourpayment,considerpayingonlineatwww.tax.ny.gov.
MakeyourcheckormoneyorderpayabletoNew York State Income Tax.Besure
to write your social security number, the tax year, and Income Tax on your payment.
Dollars Cents
Amountincluded
00
E-mail:
Detach here
Tax year (yyyy)
Pay online
Beforemailinginyourpayment,considerpaying
online.
• TheTaxDepartment’sWebsiteisaneasy,fast,and
safe way to make payments.
• Visitwww.tax.ny.gov to learn more.
Need help?
Personal Income TaxInformationCenter: (518)457-5181
Toorderformsandpublications: (518)457-5431
Text Telephone (TTY) Hotline (for persons with
hearingandspeechdisabilitiesusingaTTY): (518)485-5082
If you have questions about special accommodations for
persons with disabilities, call the information center.
Persons with disabilities: In compliance with the
AmericanswithDisabilitiesAct,wewillensure
thatourlobbies,ofces,meetingrooms,andother
facilities are accessible to persons with disabilities.
Telephone assistance
Automatedincometaxrefundstatus: (518)457-5149
VisitourWebsiteatwww.tax.ny.gov
• getinformationandmanageyourtaxesonline
• checkfornewonlineservicesandfeatures
IT-201-V (9/13) (back)
Fee for payments returned by banks – The law allows
the Tax Department to charge a $50 fee when a check,
money order, or electronic payment is returned by a bank for
nonpayment. However, if an electronic payment is returned
as a result of an error by the bank or the department, the
department won’t charge the fee. If your payment is returned,
we will send a separate bill for $50 for each return or other
tax document associated with the returned payment.
Privacy notication
TheCommissionerofTaxationandFinancemaycollectand
maintain personal information pursuant to the New York
StateTaxLaw,includingbutnotlimitedto,sections5-a,171,
171-a,287,308,429,475,505,697,1096,1142,and1415
of that Law; and may require disclosure of social security
numberspursuantto42USC405(c)(2)(C)(i).
This information will be used to determine and administer tax
liabilities and, when authorized by law, for certain tax offset
and exchange of tax information programs as well as for any
other lawful purpose.
Information concerning quarterly wages paid to employees
is provided to certain state agencies for purposes of
fraud prevention, support enforcement, evaluation of the
effectiveness of certain employment and training programs
and other purposes authorized by law.
Failuretoprovidetherequiredinformationmaysubjectyou
to civil or criminal penalties, or both, under the Tax Law.
ThisinformationismaintainedbytheManagerofDocument
Management,NYSTaxDepartment,WAHarrimanCampus,
AlbanyNY12227;telephone(518)457-5181.