Pennsylvania PA-41 Payment Voucher

PA-41 Payment Voucher
2023 PA-41 Payment Voucher (Form and Instructions) (PA-41 V)
IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING

PA-41 V 03-23 (FI)
PA-41 PAYMENT VOUCHER
PA-41 PAYMENT VOUCHER (PA-41 V)
Use the 2023 Form PA-41 V with a payment of tax owed with a
2023 PA-41, Fiduciary Income Tax Return. Do not use this voucher
for any other purpose. Follow the instructions below.
FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)/
SOCIAL SECURITY NUMBER (SSN)
● FEIN - enter the fiduciary’s (estate or trust) nine-digit FEIN
without a hyphen followed by “F.”
● SSN - If the estate has not received its FEIN from the IRS,
enter the decedent’s Social Security number without the
hyphens followed by “F”.
● NO FEIN – if the trust has not yet received its FEIN from the
IRS, enter nine zeroes followed by “F” in the space provided
for the FEIN.
CHECK DIGIT
Print the first two letters of the last name of the fiduciary (estate
or trust).
NAME AND TITLE OF FIDUCIARY
● Print the last name, first name and middle initial of the
fiduciary (estate or trust).
Example:
● Estate – SMITH JOHN T ESTATE OF
● Trust – JONES MARY S TRUST
ADDRESS OF FIDUCIARY
● First and Second Line of Address – Print the fiduciary’s (estate
or trust) complete street address. If the address has an
apartment, suite or RR number, enter after the street address.
● City – Print the name of the city. For foreign addresses, the
bottom line of the address should show only the country
name,written in full (no abbreviations) and in capital letters.
● State – Print the two-digit state abbreviation.
● ZIP – Print the five-digit ZIP Code.

FIDUCIARY PHONE NUMBER
Print the fiduciary’s (estate or trust) 10-digit phone number with
area code including hyphens.
PAYMENT
Check or Money Order
Carefully enter the amount of the payment.
Make the check or money order payable to the PA DEPT. OF
REVENUE. Please write on the check or money order:
● the estate’s or trust’s FEIN (including “F”);
● "2023 PA-41 V"; and
● the daytime telephone number of the estate’s or trust’s
representative.
The department will need the FEIN if the check becomes
separated from the PA-41 V. The department will need the FEIN
to accurately apply the payment.
Electronic Funds Transfer
Payments for 2023 PA tax due may also be made using electronic
funds transfer by accessing myPATH at mypath.pa.gov. When
prompted, enter the bank account information and the payment
will be deducted from the account on the date specified. There is
no charge for using this option. Payments equal to or greater than
$15,000 must be made electronically. Payments not made
electronically will be subject to a penalty equal to 3% of the
payment amount not to exceed $500.
MAILING ADDRESS
If filing a paper return, please remit payment with the return. If filing
electronically, please use the following address to mail a payment
to the department:
PA DEPARTMENT OF REVENUE
PAYMENT ENCLOSED
1 REVENUE PLACE
HARRISBURG PA 17129-0001

t Detach here t

✁
PA-41 V 03-23

(FI)

2023 PA-41 PAYMENT VOUCHER

SSN OR FEIN

CHECK DIGIT

2300910052
LAST NAME

FIRST NAME

PAYMENT AMOUNT

MI

NAME OF ESTATE OR TRUST
FIRST LINE OF ADDRESS

s

s

SECOND LINE OF ADDRESS
CITY

STATE

ZIP

PHONE NUMBER

Make check or money order
payable to the Pennsylvania
Department of Revenue

DEPARTMENT USE ONLY
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