PPPP 265 1040vmockup
PPPP 265 1040vmockup
PPPP 265 1040vmockup
1040-V
Form
2020
Department of the Treasury ▶ Do not staple or attach this voucher to your payment or return.
Internal Revenue Service (99)
Go to www.irs.gov/Payments for payment options and information.
1 Your social security number (SSN)
(if a joint return, SSN shown first on your return) 2 If a joint return, SSN shown second 3 Amount you are paying by check or Dollars Cents
on your return money order. Make your check or
money order payable to “United
WRITE YOUR FULL SSN States Treasury”
4 Your first name and middle initial Last name
JOSHUA C COUNCIL
If a joint return, spouse’s first name and middle initial Last name
Home address (number and street) Apt. no. City, town, or post office. If you have a foreign address, also complete spaces State ZIP code
1376 HAIGHT ST below. SAN FRANCISCO CA 94117
Foreign country name Foreign province/state/county Foreign postal code
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 20975C