Utah State Tax Commission
                                                                                                                     TC-547
Individual Income Tax Return Payment Coupon                                                                          Rev. 12/11

USE OF PAYMENT COUPON                                           Print your name and address, daytime telephone number
If you have a tax due balance on your Utah individual           and the year the payment is for on your check or money
income tax return and you have previously filed your return     order.
(either electronically or by paper) without a payment,
include the payment coupon below with your check or             SENDING PAYMENT COUPON
money order to insure proper credit to your account Do.         If sending this payment coupon separate from your
not mail another copy of your income tax return with this       individual income tax return, do NOT mail another copy of
payment. Sending a duplicate of your return may                 your return with this payment.
delay posting of the payment.
                                                                Complete and detach the payment coupon below.
If you are sending a payment with your paper Utah
individual income tax return, include the payment coupon        Do not attach (staple, paper clip, etc.) the check or money
below with your check or money order, to insure proper          order to the payment coupon.
credit to your account.
                                                                Send the payment coupon and payment to:
Do not use this return payment coupon to prepay future
individual income taxes. Use form TC-546.                             Utah State Tax Commission
                                                                      210 N 1950 W
ELECTRONIC PAYMENT                                                    Salt Lake City, UT 84134-0266
You may pay your tax online at taxexpress.utah.gov.

HOW TO PREPARE THE PAYMENT
Make your check or money order payable to the Utah State
Tax Commission. Do not send cash. The Tax Commission
does not assume liability for loss of cash placed in the
mail.

                                                                                                 Clear form

     SEPARATE AND RETURN ONLY THE BOTTOM COUPON WITH PAYMENT. KEEP TOP PORTION FOR YOUR RECORDS.

                                                                                                              TC-547
Individual Income Tax                     Mail to: Utah State Tax Commission, 210 N 1950 W, SLC UT 84134-0266 Rev. 12/11
                                          Primary taxpayer name                                  Social Security no.
Return Payment Coupon                                                                                                              I
     Tax year ending                                                                                                               I
                                          Secondary taxpayer name                                Social Security no.               T

                                                                                                                                   0
     USTC Use Only
                                          Address                                                                                  0
                                                                                                                                   4
                                          City                                                   State Zip code

                                                                  Payment amount enclosed $                          00
                                                                Make check or money order payable to the Utah State Tax Commission.
                                                                Do not send cash. Do not staple check to coupon. Detach check stub.