Form IT-201-V Instructions and Payment Voucher forIncome Tax Returns

Dollars Balance due Spouse s last name Spouse s SSN (enter only if filing a joint return) State Your last name ( for a joint return enter spouse s name on line below ) Your social security number (SSN) ZIP code 0401120094 Also use Form IT 201 V if you previously filed your income tax return (Form IT 201 Form IT 203 Form IT 201 X or Form IT 203 X) and want to make a payment for that return an error by the bank or the department the department won t associated with the returned payment Automated income tax refund status: (518) 457 5149 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 back page of these instructions for information on obtaining forms and publications ) If you have used a designated private delivery service and need to establish the date you filed your form contact that private delivery service for instructions on how to obtain written proof of the date your form was given to the delivery service for delivery If you use any private delivery service whether it is a designated service or not send the forms covered by these instructions to: JPMorgan Chase NYS Tax Processing Estimated Tax 33 Lewis Rd Binghamton NY 13905 1040 Cents charge the fee If your payment is returned we will send a separate bill for $50 for each return or other tax document check or money order If you authorized the Tax Department to check stubs City village or post office Designated Private Delivery Services See Need help? on the Detach here E mail: Enclose your check or money order with your voucher Please do not staple or clip your check to your voucher Detach any Enter the amount of your payment in the space provided (enter only whole dollar amounts) Detach the payment voucher at the line indicated below Enter your name social security number (SSN) and address in the spaces provided; if you filed a joint return include your spouse s name and SSN in the spaces provided Do not include your spouse s name and SSN if you filed separate returns or if you filed Form IT 203 C Failure to provide the required information may subject you to civil or criminal penalties or both under the Tax Law 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 Foreign addresses Enter the information in the following order: city province or state and then country (all in the City village or post office box) Follow the country s practice for entering the postal code Do not abbreviate the country name Form IT 201 or Form IT 203) and you owe tax you must submit How do I prepare my payment? How do I prepare the payment voucher? If you choose you may use a private delivery service instead of the U S Postal Service to mail in your form and tax payment However if at a later date you need to establish the date you filed or paid your tax you cannot use the date recorded by a private delivery service unless you used a delivery service that has been designated by the U S Secretary of the Treasury or the Commissioner of Taxation and Finance (Currently designated delivery services are listed in Publication 55 If you e filed a New York State income tax return (on If you have questions about special accommodations for persons with disabilities call the information center 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 Instructions for Form IT 201 V IT 201 V IT 201 V (2012) (back) Mailing address ( number and street or rural route; see instructions ) Apartment number Make your check or money order payable to New York State Income Tax for the full amount you owe and write your social security number and 2012 Income Tax on it Make your check or money order payable to New York State Income Tax for the full amount you owe and write your social security number and 2012 Income Tax on it Mail voucher and payment to: NYS Personal Income Tax Processing Center PO Box 4124 Binghamton NY 13902 4124 Need help? New York State Department of Taxation and Finance NYS PERSONAL INCOME TAX PROCESSING CENTER PO BOX 4124 BINGHAMTON NY 13902 4124 Payment Voucher for Income Tax Returns Payment Voucher for Income Tax Returns IT 201 V Persons with disabilities: In compliance with the Americans with Disabilities Act we will ensure that our lobbies offices meeting rooms and other facilities are accessible to persons with disabilities Privacy notification Private delivery services Send your payment and this payment voucher to: Spouse s first name and middle initial Telephone assistance 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 is maintained by the Manager of Document Management NYS Tax Department W A Harriman Campus Albany NY 12227; telephone (518) 457 5181 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 this payment voucher Form IT 201 V below if you pay by To find out more about your payment options visit the Tax Department s Web site (at www tax ny gov) When do I file? Where do I send my payment and paymentvoucher? Who must use a payment voucher? withdraw the payment from your bank account (electronic funds withdrawal) or paid by credit card do not file Form IT 201 V You must pay the amount you owe by April 15 2013 to avoid interest and penalties Your first name and middle initial