IT-140V                                                                          West Virginia Individual Income Tax 
REV. 6-20                                                                 Electronic Payment Voucher & Instructions

Do I need to use a payment voucher?
1. If you owe tax on your Personal Income Tax return, send the payment voucher to us with your payment. You must pay
   the amount you owe by April 15, to avoid interest and penalties.
2. If your return shows a refund or no tax due, there is no need to use the payment voucher.

How do I prepare my payment?
1. Make your check or money order payable to the West Virginia State Tax Department. Do not send cash!
2. If your name and address are not printed on your check or money order, write them on it.
3. Write your Social Security Number (SSN), daytime phone number, and “Form IT-140V” on your payment                           .

How do I prepare the payment voucher?
1. Enter your SSN in the   rstfi            block, top line, and the   rstfifour letters of your last name in the second block top line.
2. If a joint return, enter your spouse’s SSN on the second line.
3. Enter the amount you are paying in the third block, top line.
4. Enter your name(s) and address on the last three lines.
5. Mark the Amended box if payment is associated with an amended tax return to ensure the proper direction and
   processing. Failure to do so could result in the assessment of late payment penalties.

How do I send my payment and the payment voucher?

1. Detach the payment voucher by cutting along the dotted line below.
2. DO NOT attach the payment voucher or your payment to your return or to each other.
3. Mail your payment and payment voucher to the following address:

                             West Virginia State Tax Department
                             Tax Account Administration Division
                             P.O. Box 11385
                             Charleston, WV 25339-1385

   REV                       WV IT-140V                                   STATE OF WEST VIRGINIA
   11/20 EPV                               INDIVIDUAL INCOME TAX ELECTRONIC PAYMENT VOUCHER
                        Your Social                                       Period                                AMOUNT OF PAYMENT
                             Security 
                             Number                               Amended MMDDYYYYEnding
                             Spouse’s                                     Name                      $_________________________________________
                             SSN                                          Control
                                                                                                    Do not send cash! Make your check or money order payable 
                        Your First Name    Spouse’s First Name                          Last Name   to the West Virginia State Tax Department and write your social 
                                                                                                    security number and “Form IT-140V” on your check or money 
                                                                                                    order Mail your payment to:
                        Mailing Address                                                             West Virginia State Tax Department
                                                                                                    Tax Account Administration Division
                        City                      State                                 Zip Code    P.O. Box 11385
   Please print or type                                                                             Charleston, WV 25339-1385

                        NOTE: Electronic  filers must inform taxpayers 
                        that full payment of taxes due must be submitted 
                                        th                                              *P38202001W*
                        by April 15 to avoid interest and penalties                               P38202001W