![]() Daytime telephone number of the taxpayer(s).The last four digits of the primary taxpayer’s SSN.Please write on the check or money order: Make the check or money order payable to the PA DEPARTMENT Print the taxpayer’s 10-digit phone number with area code State – Print the two-digit state abbreviation.Name, written in full (no abbreviations) and in capital letters. For foreign addresses, theīottom line of the address should show only the country Line is needed, use the first line of Address. Suite or RR number, enter after the street address. First and Second Line of Address – Print the taxpayer’sĬomplete street address.Print the last name, first name and middle initial of the.Print the first two letters of the last name of the taxpayer. SSN - enter the spouse’s nine-digit SSN without the hyphens.SSN - enter the primary taxpayer’s nine-digit SSN.Do not use this voucherįor any other purpose. Use the 2021 Form PA-40 V with a payment of tax owed with aĢ021 PA-40, Personal Income Tax Return. 2021 PA-40 Payment Voucher (PA-40 V)IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING
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