Form 1040ME-PV Fillable payment voucher for electronically filed returns
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

DO NOT STAPLE OR TAPE CHECK TO YOUR FORM DO NOT CUT OR DETACH THIS FORM DO NOT SEND PHOTOCOPIES OF THIS FORM Use this voucher only for Maine individual income tax that is due on your electronically filed tax return (click on Electronic Services) *1201601* Address (number street and apt no ) Amount Paid with this voucher Augusta ME 04332 9101 be withdrawn on the payment date the taxpayer selects City/Town State Zip Code Enter the amount of your check or money order in the space provided Enter your name(s) social security number(s) telephone number and address in the spaces provided If you are fi ling a Form 1040ME PV joint return enter your names and social security numbers in the same order as they appear on your return Mail your completed payment voucher and payment to: Maine EZ Pay is an online application that allows Maine taxpayers to make payments online quickly and easily Maine EZ PayYou may pay your income tax electronically at www maine gov/revenue Electronic payments eliminate Maine Individual Income Tax Maine Revenue Services Make checks payable to Treasurer State of Maine Payment Voucher PO Box 9101 Spouse s First Name Initial Area Code Home Phone Number Spouse s Last Name Area Code Work Phone Number Taxpayers must pre register online with personal and bank account information and payments will be withdrawn from the checking or savings account that is set up in the registration For more information see www maine gov/revenue the necessity of filing forms 1040ME PV (income tax payment vouchers) To avoid having to make payments earlier than necessary payments may be scheduled in advance and will automatically To mail your payment follow the instructions below Your First Name Initial Your Social Security Number Your Last Name Spouse s Social Security Number