Pennsylvania PA-40 Payment Voucher
Extracted from PDF file 2021-pennsylvania-form-pa-40-pa-v.pdf, last modified October 2012
PA-40 Payment VoucherIMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING PA-40 V (EX) 10-21 (FI) PA-40 PAYMENT VOUCHER PA-40 PAYMENT VOUCHER (PA-40 V) Use the 2021 Form PA-40 V with a payment of tax owed with a 2021 PA-40, Personal Income Tax Return. Do not use this voucher for any other purpose. Follow the instructions below. SOCIAL SECURITY NUMBER (SSN) ● SSN - enter the primary taxpayer’s nine-digit SSN without the hyphens. ● SSN - enter the spouse’s nine-digit SSN without the hyphens. CHECK DIGIT Print the first two letters of the last name of the taxpayer. NAME OF TAXPAYER AND SPOUSE ● Print the last name, first name and middle initial of the taxpayer and spouse. ADDRESS ● First and Second Line of Address – Print the taxpayer’s complete street address. If the address has an apartment, suite or RR number, enter after the street address. If only one line is needed, use the first line of Address. ● City – Print the name of the city. For foreign addresses, the bottom line of the address should show only the country name, written in full (no abbreviations) and in capital letters. ● State – Print the two-digit state abbreviation. ● ZIP – Print the five-digit ZIP Code. TAXPAYER’S PHONE NUMBER Print the taxpayer’s 10-digit phone number with area code including hyphens. Make the check or money order payable to the PA DEPARTMENT OF REVENUE. Please write on the check or money order: ● The last four digits of the primary taxpayer’s SSN; ● "2021 PA-40 V"; and ● Daytime telephone number of the taxpayer(s). If the check or money order does not include the primary taxpayer’s name, the department will also need the name of the primary taxpayer as well as the information requested above. In the event the check becomes separated from the PA-40 V, the department will need this information to accurately apply the payment. Electronic Funds Transfer Payments for 2021 PA tax due may also be made using electronic funds transfer by accessing myPATH at mypath.pa.gov. When prompted, enter the bank account information and the payment will be deducted from the account on the date specified. There is no charge for using this option. Payments made after December 31, 2021 equal to or greater than $15,000 must be made electronically. Payments not made electronically will be subject to a penalty equal to 3% of the payment amount not to exceed $500. MAILING ADDRESS If filing a paper return, please remit payment with the return. If filing electronically, please use the following address to mail a payment to the department: PA DEPARTMENT OF REVENUE PAYMENT ENCLOSED 1 REVENUE PLACE HARRISBURG PA 17129-0001 PAYMENT Check or Money Order Carefully enter the amount of the payment. t DetAch here t ✁ PA-40 V 10-21 2021 PA-40 PAYMENT VOUCHER PRIMARY SSN CHECK DIGIT SPOUSE’S SSN START ➜ 2100910054 LAST NAME FIRST NAME MI SPOUSE’S LAST NAME FIRST NAME MI PAYMENT AMOUNT FIRST LINE OF ADDRESS SECOND LINE OF ADDRESS CITY STATE ZIP PHONE NUMBER Make check or money order payable to the Pennsylvania Department of Revenue DEPARTMENT USE ONLY Reset Entire Form PRINT
2021 PA-40 Payment Voucher (PA-40 V)
More about the Pennsylvania Form PA-40 PA-V Individual Income Tax Voucher TY 2021
Use Form PA-40 V with a payment of tax owed with a PA-40, Personal Income Tax Return. Do not use this voucher for any other purpose.
We last updated the PA-40 Payment Voucher in January 2022, so this is the latest version of Form PA-40 PA-V, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form PA-40 PA-V directly from TaxFormFinder. You can print other Pennsylvania tax forms here.
Related Pennsylvania Individual Income Tax Forms:
|Form Code||Form Name|
|Form PA-40||Pennsylvania Income Tax Return|
|Form PA-40 A||PA Schedule A - Interest Income|
|Form PA-40 SP||PA Schedule SP - Special Tax Forgiveness|
|PA-40||Income Tax Return|
|Form PA-40 UE||PA Schedule UE - Allowable Employee Business Expenses|
|Form PA-40 B||PA Schedule B - Dividend Income|
|Form PA-40 ESR-I||Declaration of Estimated Tax|
|Form PA-40 C||PA Schedule C - Profit or Loss From Business or Profession|
|Form PA-40 E||PA Schedule E - Rents and Royalty Income (Loss)|
|Form PA-40 T||PA Schedule T - Gambling and Lottery Winnings|
Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form PA-40 PA-V from the Department of Revenue in January 2022.
Form PA-40 PA-V is a Pennsylvania Individual Income Tax form. Payment vouchers are provided to accompany checks mailed to pay off tax liabilities, and are used by the revenue department to record the purpose of the check and the SSN/EIN of the taxpayer who sent it. Many states recommend that taxpayers also write their social security number and the purpose of the payment on the check itself, in case the accompanying payment voucher is misplaced or destroyed.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Pennsylvania Form PA-40 PA-V
We have a total of eight past-year versions of Form PA-40 PA-V in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2021 PA-40 Payment Voucher (PA-40 V)
2020 PA-40 Payment Voucher (PA-40 V)
2019 PA-40 Payment Voucher (PA-40 V)
2018 PA-40 Payment Voucher (PA-40 V)
2017 PA-V PA Payment Voucher (PA-40 PA-V)
2016 PA-V PA Payment Voucher (PA-40 PA-V)
PA-40 Payment Voucher (PA-40 PA-V)
2014 PA-40 Payment Voucher (PA-40 PA-V)
While we do our best to keep our list of Pennsylvania Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.