Form 1041-V: What Is Form 1041-V and Do You Have To Use It? No Checks of $100 Million or More Accepted

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2021 Form 1041-V ▶ Go

Department of the Treasury


Internal Revenue Service
to www.irs.gov/Form1041V for the latest information.

Any reference in these instructions to “you” means the • Write the estate’s or trust’s EIN and “2021 Form 1041”
fiduciary of the estate or trust. on the check or money order.
What Is Form 1041-V and Do You Have To • To help us process the payment, enter the amount on
the right side of the check like this: $ XXX.XX. Don’t use
Use It? dashes or lines (for example, don’t enter “$ XXX—” or
It is a statement you send with a check or money order “$ XXX xx/100”).
for any balance due on line 28 (Tax due) of the estate’s or
trust’s 2021 Form 1041. Using Form 1041-V allows us to No Checks of $100 Million or More Accepted
process the payment more accurately and efficiently. We The IRS can’t accept a single check (including a cashier’s
strongly encourage you to use Form 1041-V, but there is check) for amounts of $100,000,000 ($100 million) or
no penalty if you don’t. more. If you’re sending $100 million or more by check,
You may choose to pay any balance due electronically. you’ll need to spread the payments over two or more
If you do, you don’t need to send in Form 1041-V. For checks with each check made out for an amount less
more information about electronic payment options, go to than $100 million. The $100 million or more amount limit
www.irs.gov/E-Pay. doesn’t apply to other methods of payment (such as
electronic payments), so please consider paying by
How To Fill In Form 1041-V means other than checks.
Line 1. Enter the estate’s or trust’s employer identification How To Send In the Estate’s or Trust’s 2021
number (EIN) as shown on its return.
Tax Return, Payment, and Form 1041-V
Line 2. Enter the amount you are paying by check or
money order. • Detach Form 1041-V along the dotted line.
Line 3. Enter the name of the estate or trust. • Don’t staple or otherwise attach the payment or Form
1041-V to the return or to each other. Instead, just put
Line 4. Enter your name and title. them loose in an envelope.
Line 5. Enter your address exactly as shown on the • Mail the estate’s or trust’s 2021 tax return, payment,
estate’s or trust’s return. Please print clearly. and Form 1041-V to the address shown on the back that
How To Prepare the Payment applies to you.

• Make the check or money order payable to “United


States Treasury.” Don’t send cash.
• Make sure the name of the estate or trust appears on
the check or money order.

Cat. No. 54561M Form 1041-V (2021)

▼ Detach Here and Mail With Your Payment and Return ▼

1041-V Payment Voucher


Form

OMB No. 1545-0092

Department of the Treasury


Internal Revenue Service (99)
▶ Make your check or money order payable to “United States Treasury”
▶ Don’t staple or attach this voucher to your payment or return.
2021
1 Employer identification number (EIN) 2 Amount you are Dollars Cents
paying by check
86-6574856 or money order

3 Name of estate or trust


Print or type

PHILLIP COURTNEY GREGORY ESTATE TRUST


4 Name and title of fiduciary
Phillip-Courtney: Gregory
5 Address of fiduciary (number, street, and room or suite no.)
11125 PARK BOULEVARD, SUITE 216
City, state, and ZIP code
SEMINOLE, FL 33772
For Paperwork Reduction Act Notice, see the Instructions for Form 1041. Cat. No. 54561M
Form 1041-V (2021) Page 2

Where To File

If you are located in Please mail to the


▼ ▼

Connecticut, Delaware, District of Columbia, Georgia, Illinois, Department of the Treasury


Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Internal Revenue Service
New Hampshire, New Jersey, New York, North Carolina, Ohio, Kansas City, MO 64999-0148
Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont,
Virginia, West Virginia, Wisconsin

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Department of the Treasury
Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Internal Revenue Service
Missouri, Montana, Nebraska, Nevada, New Mexico, North Ogden, UT 84201-0148
Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah,
Washington, Wyoming

A foreign country or a U.S. possession Internal Revenue Service


P.O. Box 409101
Ogden, UT 84409

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