Form C-PV Wisconsin Corporation Payment Voucher C-PV

(Go to www.revenue.wi.gov/pay for electronic payment options)

* Indicates a required field.

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*Person to contact regarding payment

*Corporation Name

*Telephone Number

*FEIN

OR

SSN(Estates only)

*Street

*State/Province

*City

*ZIP Code

Calendar year

Fiscal year beginning →

Short taxable year : beginning → ; ending →

You are required to make your payment electronically if your net tax less refundable credits on your prior year's return was $1,000 or more

Check box if this voucher is for an amended return

*Amount of Payment