Form AR1000CRV Fillable Composite Income Tax Payment Voucher
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(ex 1 234 567 89) (R 12/31/14) Address All tax return payments should be mailed on or before the due date of the tax return Amount Paid AR1000CRV Arkansas State Income Tax below If this payment is for an amended return mark YES on Form AR1000V in the appropriate City State Zip COMPOSITE FILER TAX PAYMENT VOUCHER INSTRUCTIONS COMPOSITE INCOME TAX RETURN Due Date Federal Identification Number filing an original or amended tax return Failure to complete a payment voucher could cause a delay Fiscal Year End For assistance call (501) 682 1100 forms If mailing a paper tax return with payment complete Form AR1000C and include a check or money IMPORTANT: This voucher must be fully completed and included with any payment made when in receiving credit for your payment You must also use this payment voucher for filing prior year tax Include Cents Is Payment for an Amended Return? Little Rock AR 72203 2144 Note: Write your Federal Identification Number on your check or money order and make payable in order Mail the AR1000CRV payment and your tax return (Form AR1000CR) to the PO Box listed P O Box 2144 Paper Returns PAYMENT VOUCHER space STATE OF ARKANSAS Tax Year Telephone # U S Dollars to the Department of Finance and Administration Yes No You must cut along the dotted line or the processing of your payment will be delayed