1. FORM 1040N-V Nebraska Individual Income Tax
2008 Payment Voucher
PLEASE DO NOT WRITE IN THIS SPACE
N
ATTACH CHECK OR MONEY ORDER HERE
E
Name(s)
B
PLEASE PRINT OR TYPE
Street or Other Mailing Address Apartment No. Your Social Security Number Spouse’s Social Security No. R
A
City State Zip Code Amount Remitted Daytime Phone Number
S
Use only when making payment for an electronically filed return. K
The total amount of tax due must be paid in full. A
If payment is not made on or before April 15, 2009, the tax due is subject to penalty and interest.
www.revenue.ne.gov, (800) 742-7474 (toll free in NE and IA) or (402) 471-5729.
Mail this voucher and payment to: NEBRASKA DEPARTMENT OF REVENUE, P.O. BOX 98903, LINCOLN, NE 68509-8903 8-549-2008