Form 2-PV              Massachusetts Fiduciary Income Tax Payment Voucher       2009
                                  Name of estate or trust                      U.S. taxpayer number

                                  Name of fiduciary           Title            Payment for the year ending:
                                                                                                           //
                                                                                MONTH                      DAYYEAR
                                  Mailing address of fiduciary                 Amount enclosed
                                                                               $
                 STAPLE CHECK HERECity/Town                        State    Zip Check if name/address changed since 2008

Mail to: Massachusetts Department of Revenue, PO Box 7018, Boston MA 02204. 
Make check payable to: Commonwealth of Massachusetts.
                                                                               2009 0179 136