Form 4-EPV
Use voucher at bottom ONLY to submit the balance due for an electronically filed 2008 corporation income or franchise tax return, including ONLY: · Form 4 · Form 5 · Form 5S Do NOT use this voucher to submit the balance due on any individual income tax return, pass-through entity withholding return, composite individual income tax return, partnership recycling surcharge return, or any return form not listed in the box above. For estimated payments of pass-through entity withholding (Form PW-1), use Form PW-ES. Do NOT use this voucher for corporation quarterly estimated payments. Use Form 4-ES instead.
Use Adobe Reader v. 7 (or more current version) for this voucher to print accurately.
IMPORTANT Must print voucher at 100% See instructions at right
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In Print menu Page Handling section, at Page Scaling: 1) select None to print voucher at 100%, and 2) Uncheck the Auto-Rotate and Center checkbox.
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2008
Wisconsin Corporation Electronic Payment Voucher
Use this form only if your taxable year begins in 2008
Phone number: This tax payment is for: 2008 calendar year Fiscal year beginning Short taxable year beginning Person to contact regarding payment:
4-EPV
Corporation Name
Make check payable to and mail to: Wisconsin Department of Revenue Box 930208 Milwaukee WI 53293-0208
Tab to continue
Federal Employer ID Number
<< No hyphen in FEIN, enter numbers only
m m
d
d m m
y d
y d
y
y y y y y
, 2008; ending
Number and Street
City
State
Zip Code
Amount of Payment
$
Please do not staple your payment to this voucher.
DC-105 (R. 10-08)
. 00
20802540120000009999999991231200812081980000000000