Fillable Printable 2010 D-102 Form Epv, Wisconsin Electronic Payment Voucher
Fillable Printable 2010 D-102 Form Epv, Wisconsin Electronic Payment Voucher
2010 D-102 Form Epv, Wisconsin Electronic Payment Voucher
Home address (number and street or rural route)
City or post ofce
Your legal rst name and initialYour legal last name
Spouse’s legal rst name and initialSpouse’s legal last name
Wisconsin Department of Revenue
PO Box 930208
Milwaukee WI 53293-0208
Your social security number
Spouse’s social security number
State
Telephone number
Zip code
Form
2010
D-102 (R. 6-10)
Please do not staple your payment to this voucher
$
.
Amount of Payment
Form EPV voucher at the bottom
Wisconsin Electronic Payment Voucher
cut here
Use of the personalized Form EPV voucher below will ensure that your tax payment will
be posted timely and to the correct account.
• Use Form EPV to pay the tax due from an electronically led return. Use Form 1-ES to
pay estimated tax.
• Do not print a blank voucher to complete by hand. Enter your data on this voucher online.
The numeric string of numbers will then change to reect your personal information
(identifying number and amount).
• Be sure to ll in your (and your spouse’s, if applicable) social security number in the
space provided. Do not use hyphens. Estates ll in the decedent’s social security
number. Trusts must ll in their 9-digit FEIN.
• Cut on the dotted line only. Do not cut off the string of numbers at the bottom of the
voucher.
• Use the correct year voucher. This voucher is for 2010. Do not use this voucher for a
different year by crossing out 2010 and writing in a different year. This will cause your
payment to be credited to the wrong year.
• Send your payment to the address shown on the voucher. Do not attach any other
forms or instruction sheets to the voucher.
2010 Form EPV
File only if submitting payment.
Make your check payable
to and mail your voucher to:
EPV
Legal name of trustFEIN
Check the box below which applies to you.
Individual
Individual – Amended
Trust
Trust – Amended
Estate (Enter decedent’s social security number)
Estate – Amended
Use Adobe Reader v. 7
(or more current version)
for this voucher to print
accurately.
IMPORTANT
Must print voucher at 100%
See instructions at right
In Print menu Page Handling section, at Page Scaling:
1) select None to print voucher at 100%, and
2) Uncheck the Auto-Rotate and Center checkbox.
Save
Print
Clear
No hyphen in SS# fields, enter numbers only
Tab to continue
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20801640139999999999999999990201012101980000000000
