Form 1041-V Payment Voucher

2016

Form 1041-V

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

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 2016 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 don’t.
You may choose to pay any balance due electronically.
If you do, you don’t 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 Prepare the Payment

Department of the Treasury
Internal Revenue Service

• Write the estate’s or trust’s EIN and “2016 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. Don’t use
dashes or lines (for example, don’t enter “$ XXX—” or
“$ XXX xx/100”).

No Checks of $100 Million or More Accepted
The IRS can't accept a single check (including a cashier's
check) for amounts of $100,000,000 ($100 million) or
more. If you're sending $100 million or more by check,
you'll need to spread the payments over two or more
checks with each check made out for an amount less
than $100 million. The $100 million or more amount limit
doesn't apply to other methods of payment (such as
electronic payments), so please consider paying by
means other than checks.

How To Send In the Estate’s or Trust’s 2016
Tax Return, Payment, and Form 1041-V
• Detach Form 1041-V along the dotted line.
• Don’t 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 2016 tax return, payment,
and Form 1041-V to the address shown on the back that
applies to you.

• Make the check or money order payable to “United
States Treasury.” Don’t send cash.
• Make sure the name of the estate or trust appears on
the check or money order.

Form 1041-V (2016)

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”
▶ Don’t 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

2016
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 (2016)

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
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
Ogden, UT 84201-0148

A foreign country or a U.S. possession

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