Form PV Wisconsin Payment Voucher

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

Taxpayer

Taxpayer's last name is a required field.

Taxpayer's first name is a required field.

Taxpayer's Social Security number is a required field if this is an Individual or Estate Return.

Spouse

Periods are not allowed

Periods are not allowed

Enter Spouse Social Security number without hyphen

Legal Trust

Legal name of trust

A FEIN is required if this is a Trust Account Return

Address

Taxpayer's address is a required field.

Taxpayer's state/province is a required field.

Taxpayer's city is a required field.

Taxpayer's zip code is a required field.

(Enter Telephone number with dashes as xxx-xxx-xxxx)

This payment is for tax return year:


Amount is a required field and must be a whole number, 8 digits or less

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