Missouri Individual Income Tax Payment Voucher

Individual Income Tax Payment Voucher
Form MO-1040V - 2023 Individual Income Tax Payment Voucher
Ever served on active duty in the United States Armed Forces?
Form

MO-1040V

2023 Individual Income Tax Payment Voucher

What Is Form MO-1040V and Why Should I Use It?
Form MO-1040V, Individual Income Tax Payment Voucher, is the
voucher you send with your payment when you do not make the
payment with your income tax return. It is similar to vouchers returned
with loan, utility, and credit card payments. Form MO-1040V ensures
that your payment will be processed more efficiently and accurately.
Form MO-1040V allows you to file your completed income tax return
and send your payment at a later date. Your income tax return and
payment are due no later than April 15, 2024.
When Should I Use Form MO-1040V?
If you have an amount due on an electronically filed return, or do not
submit payment in full when you file your income tax return, send
Form MO-1040V with your payment. DO NOT use Form MO-1040V
for making extension payments. Please use Form MO-60 or visit our
website to pay online.
How Do I Fill In the Payment Voucher?
Complete the name(s) and address block.

• Name Control - Enter the first four letters of your last name.

See examples. If you are filing a combined return, enter your
and your spouse’s name control in the order they appear on the
return, placing your spouse’s name control in the appropriate
field below.
Enter
BROW
DEJE
LEE
MCCA
ONEI
TORR

}

How Do I Make My Payment?
•	Make your check or money order payable to the “Missouri
Department of Reve­nue.” Do not send cash. Do not postdate your
check; it will be cashed upon receipt. The Department of Revenue
may collect on checks returned for insufficient or uncollected funds
electronically. (U.S. funds only)
•	Write your name, address, SSN, daytime telephone number, and
“2023 MO Income Tax” on your check or money order.
•	Detach the payment voucher at the perforation, and mail with your
payment. Do not mail a copy of your previously filed return.
•	Please mail your Form MO-1040V and payment to:
Missouri Department of Revenue
P.O. Box 371
Jefferson City, MO 65105-0371
Please print as shown below in black or dark blue ink. Do not use
red ink or pencil.

1

•	Social Security Number - Enter your social security number (SSN).
If you are filing a combined return, enter your and your spouse’s
SSN(s) in the order they appear on the return; placing your
spouse’s SSN in the appropriate field below.

	Name	
	
John Brown	
	
Juan De Jesus 	
	
Joan A. Lee 	
	
Jean McCarthy 	
	
John O’Neill 	
	
Pedro Torres-Lopez 	

If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all
eligible military individuals. A list of all state agency resources and benefits can
be found at veteranbenefits.mo.gov/state-benefits/.

Please use capital
letters as shown.

2

3

4

A B C

Federal Privacy Act Notice
Section 143.961, RSMo, authorizes the Department to require the reporting of information
deemed necessary to enforce the income tax law of the state of Missouri. Section 143.961,
RSMo, is also made applicable to the property tax credit for procedural matters pursuant
to Section 135.015, RSMo. 42 U.S.C. Section 405(c)(2)(C) authorizes the states to require
taxpayers to provide social security numbers. The Department uses your social security number
to identify you and process your tax returns and other documents, to determine and collect
the correct amount of tax, to ensure you are complying with the tax laws, to offset tax refunds
against certain other tax liabilities or amounts due to a state agency, and where permitted
or required by law, to exchange tax information with the Internal Revenue Service, other
states, other state agencies, and the Multistate Tax Commission (see Chapters 32, 143, and
610, RSMo). It is mandatory that you provide your social security number on your tax return.
Failure to provide your social security number may result in additional request(s) to you from
the Department and may also result in the complete or partial denial of a refund or tax credit
claimed on or with the return. (For further information about the Department’s authority to
prescribe forms and to require furnishing of social security numbers, see Chapters 135 and 143,
RSMo.)

• Amount of Payment - Enter the amount of your payment in whole 	
dollars.

Reset Form

Print Form

2023 Individual Income Tax
Payment Voucher (Form MO-1040V)
Please print. Make check payable to Missouri Department of Revenue. Mail Form
MO-1040V and payment to the Missouri Department of Revenue, P.O. Box 371,
Jefferson City, MO 65105-0371.

Social Security
Number

-

-

Name Control  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
Spouse’s Social
Security Number

-

-

Name	

Spouse’s Name Control . . . . . . . . . . . . . . . . . . . . . . . . . .
Amount of Payment

Spouse’s Name

(U.S. funds only) . . . . . . . . . . . . .
Street Address

City	

State	

ZIP Code

Full payment of taxes must be submitted by April 15, 2024 to avoid interest and
additions to tax for failure to pay. If you pay by check, you authorize the Department
of Revenue to process the check electronically. Any returned check may be presented
again electronically.

D

$

.

*23347010001*
23347010001
Department Use Only
Department Use Only

.