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Revised 08/13

2013  D-40P Payment Voucher Government of theDistrict of Columbia

STAPLE CHECK OR MONEY ORDER HERE

 

Your first name  M.I.    Last name           

Spouse’s/registered domestic partner’s first name M.I.    Last name                             

Home address (number, street and apartment)                                      

Amount of payment  $                                  .00Do not enter cents, enter dollars only. To avoid penalties and interest, your payment must be postmarked no later than April 15, 2014.

D-40P PAYMENT VOUCHER

See instructions

 

D-40P  P1Payment Voucher

 

  

 

separately on same return, see instructions.

Important: Print in CAPITAL letters using black ink. If filing jointly, or filing

Your social security number (SSN) Spouse’s/registered domestic partner’s SSN                           Daytime telephone number

City                                                                                                                                                      State            Zip Code

Detach at perforation and mail the voucher, with payment attached, to the Office of Tax and Revenue, PO Box 96169, Washington DC 20090-6169.

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