Form 1041-V Payment Voucher

Caution: DRAFT—NOT FOR FILING
This is an early release draft of an IRS tax form, instructions, or
publication, which the IRS is providing for your information as
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2013

Form 1041-V

Any reference in these instructions to “you” means the
fiduciary of the estate or trust.

Department of the Treasury
Internal Revenue Service

• Make sure the name of the estate or trust appears on
the check or money order.
• Write the estate's or trust's EIN and “2013 Form 1041”
on the check or money order.
• To help us process the payment, enter the amount on
the right side of the check like this: $ XXX.XX. Do not use
dashes or lines (for example, do not enter “$ XXX—” or
“$ XXX xx/100”).

DRAFT AS OF
July 8, 2013
DO NOT FILE

What Is Form 1041-V and Do You Have To
Use It?

It is a statement you send with a check or money order
for any balance due on Line 27 (Tax due) of the estate's
or trust's 2013 Form 1041. Using Form 1041-V allows us
to process the payment more accurately and efficiently.
We strongly encourage you to use Form 1041-V, but
there is no penalty if you do not.

You may choose to pay any balance due electronically.
If you do, you do not need to send in Form 1041-V. For
more information about electronic payment options, go to
www.irs.gov/e-pay.

How To Fill In Form 1041-V

Line 1. Enter the estate's or trust's employer identification
number (EIN) as shown on its return.
Line 2. Enter the amount you are paying by check or
money order.
Line 3. Enter the name of the estate or trust.
Line 4. Enter your name and title.
Line 5. Enter your address exactly as shown on the
estate's or trust's return. Please print clearly.

How To Send In the Estate's or Trust's 2013
Tax Return, Payment, and Form 1041-V
• Detach Form 1041-V along the dotted line.
• Do not staple or otherwise attach the payment or Form
1041-V to the return or to each other. Instead, just put
them loose in an envelope.
• Mail the estate's or trust's 2013 tax return, payment,
and Form 1041-V to the address shown on the back that
applies to you.

How To Prepare the Payment
• Make the check or money order payable to “United
States Treasury.” Do not send cash.

Form 1041-V (2013)

Cat. No. 54561M

Form

▼ Detach

1041-V

Here and Mail With Your Payment and Return ▼

Payment Voucher
▶

Department of the Treasury
Internal Revenue Service (99)

Make your check or money order payable to “United States Treasury”
▶ Do not staple or attach this voucher to your payment or return

Print or type

1 Employer identification number (EIN)

2 Amount you are
paying by check
or money order

OMB No. 1545-0092

2013
Dollars

Cents

3 Name of estate or trust
4 Name and title of fiduciary
5 Address of fiduciary (number, street, and room or suite no.)
City, state, and ZIP code

For Paperwork Reduction Act Notice, see the Instructions for Form 1041.

www.irs.gov/form1041v

Cat. No. 54561M

Page 2

Form 1041-V (2013)

Where To File
If you are located in
▼

Please mail to the
▼

Connecticut, Delaware, District of Columbia, Florida, Georgia,
Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts,
Michigan, New Hampshire, New Jersey, New York, North
Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina,
Tennessee, Vermont, Virginia, West Virginia, Wisconsin

Department of the Treasury
Internal Revenue Service Center
Cincinnati, OH 45999-0148

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Hawaii,
Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Missouri,
Montana, Nebraska, Nevada, New Mexico, North Dakota,
Oklahoma, Oregon, South Dakota, Texas, Utah, Washington,
Wyoming

Department of the Treasury
Internal Revenue Service Center
Ogden, UT 84201-0148

A foreign country or a U.S. possession

Internal Revenue Service Center
P.O. Box 409101
Ogden, UT 84409

DRAFT AS OF
July 8, 2013
DO NOT FILE