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Get Grand Rapids Income Tax Return Voucher Cf 1040pv

CF-1040PV CITY OF GRAND RAPIDS INCOME TAX RETURN PAYMENT VOUCHER Date to file by 4/30/2012 for tax year 2011. Include your SSN daytime phone number and 2011 Form CF-1040PV on your check or money order. DO NOT SEND CASH. Payment Payment Method Make payment by check or money order payable to Treasurer City of Grand Rapids. To pay by credit card or direct debit see income tax website of the City of Grand Rapids. Not all cities accept credit card or direct debit payments. Address for Payment CITY OF GRAND RAPIDS PO BOX 108 GRAND RAPIDS MI 49501-0108 Taxpayer Records Amount Paid Check Number Date Mailed Revised 12/29/2011 v DETACH HERE Taxpayer s first name Initial last name Taxpayer s SSN If joint return spouse s first name Initial last name Spouse s SSN Present home address Number and street Apt. no. Address line 2 P. O. Box address form mailing use only City town or post office State Foreign country name province/county postal code Zip code Amount you are paying by check or money order. To pay by credit card or direct debit see income tax website of the City of Grand Rapids. Not all cities accept credit card or direct debit payments. Address for Payment CITY OF GRAND RAPIDS PO BOX 108 GRAND RAPIDS MI 49501-0108 Taxpayer Records Amount Paid Check Number Date Mailed Revised 12/29/2011 v DETACH HERE Taxpayer s first name Initial last name Taxpayer s SSN If joint return spouse s first name Initial last name Spouse s SSN Present home address Number and street Apt. Address for Payment CITY OF GRAND RAPIDS PO BOX 108 GRAND RAPIDS MI 49501-0108 Taxpayer Records Amount Paid Check Number Date Mailed Revised 12/29/2011 v DETACH HERE Taxpayer s first name Initial last name Taxpayer s SSN If joint return spouse s first name Initial last name Spouse s SSN Present home address Number and street Apt. no. Address line 2 P. O. Box address form mailing use only City town or post office State Foreign country name province/county postal code Zip code Amount you are paying by check or money order. To pay by credit card or direct debit see income tax website of the City of Grand Rapids. Not all cities accept credit card or direct debit payments. Address for Payment CITY OF GRAND RAPIDS PO BOX 108 GRAND RAPIDS MI 49501-0108 Taxpayer Records Amount Paid Check Number Date Mailed Revised 12/29/2011 v DETACH HERE Taxpayer s first name Initial last name Taxpayer s SSN If joint return spouse s first name Initial last name Spouse s SSN Present home address Number and street Apt. no. Address line 2 P. O. Box address form mailing use only City town or post office State Foreign country name province/county postal code Zip code Amount you are paying by check or money order.

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