Voucher at the bottom
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2008
Form
Wisconsin Electronic Payment Voucher
File only if submitting payment. Make your check payable to and mail your voucher to: Wisconsin Department of Revenue PO Box 930208 Milwaukee WI 53293-0208
Your legal first name and initial Your social security number
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Your legal last name Spouse's legal last name
<< No hyphen in SS# fields, enter numbers only
Spouse's legal first name and initial Spouse's social security number
Home address (number and street or rural route)
Telephone number
Amount of Payment
City or post office
State
Zip code
$
. 00
D-102
Please do not staple your payment to this voucher
20801640139999999999999999990200812551980000000000