31
SAME-DAY
WIRE
TAXPAYER WORKSHEET
To arrange an electronic same-day federal tax payment, complete this form and present it at your financial institution.
Please type or print clearly.
1
Total tax payment: (Include interest and penalty if applicable)
2
Taxpayer identification number:
$
3 Taxpayer name control: (the first four letters of your business name)*
Effective March 10, 2025, the four character Name Control is no longer
applicable. Name Control will be derived from the first four characters of the
Creditor Name element.
4 Taxpayer name: (For business taxpayers, Taxpayer Name should
contain the Business Name. For individual taxpayers, Taxpayer Name
should contain taxpayer Last Name, First Name.)
5 Tax type: (5 characters) see Common IRS Tax Type table below**
6 Tax year: (2 digits)
7 Tax month/quarter: (2 digits) see Common IRS Tax Type table below
OPTIONAL INFORMATION:
If the payment includes tax, interest, and penalty:
NOTE: The sum of lines 8–10 must equal the amount in line 1.
8 Tax amount $
9 Interest amount $
10
Penalty amount
$
*For assistance determining the name control, see page 12.
**A comprehensive Tax Type list is available online at www.irs.gov. Personal assistance is available by calling 1.800.829.4933.
COMMON IRS TAX TYPES AND SUBTYPES
Form Number
Form Name
Tax Type Prefix
(First 4 Digits)
Valid Suffixes
(Last Digit—see Legend below)
Valid Months
720
Quarterly Excise Tax
7200
3, 4, 5, 7, 8, 9, B
03, 06, 09, 12
7200D* Branded Prescription Drug Fee 7200
D
08
940
Employer’s Annual Unemployment Tax
0940
3, 4, 5, 7, 8, 9, B
12
941
Employer’s Quarterly Tax
9410
0, 3, 4, 5, 7, 8, 9, B
03, 06, 09, 12
944
Employer’s Annual Federal Tax
9440
0, 1, 3, 4, 5, 7, 8, 9, B
12
945
Withheld Federal Income Tax
0945
0, 3, 4, 5, 7, 8, 9, B
12
990T
Exempt Organization Business Income Tax
9904
2, 3, 4, 6, 7, 8, 9, B
Fiscal Year Month (01–12)
1042
Annual Withholding Tax for U.S. Source Income of Foreign Persons
1042
2, 3, 4, 5, 7, 8, 9, B
12
1120
Corporation Income Tax Federal
1120
0, 2, 3, 4, 6, 7, 8, 9, B
Fiscal Year Month (01–12)
2290
Heavy Vehicle Use Tax
2290 3, 4, 7, 8, 9, B 01–12
8804
Annual Return of Partnership Withholding Tax (Section 1446) 8804
3, 4, 7, 8, 9, B
01–12
8963 Health Insurance Providers Fee 8963
7
09
Legend for Tax Type Suffixes (the one character suffix follows the 4-digit form number for the tax type):
Suf
fix
Type
Suf
fix
Type
0
Amended
7
Balance Due or Subsequent
Payment
2
Extension
8
Designated Payment of Interest
3
Designated Payment of Fees or Collection Costs
9
Designated Payment of Penalty
4
Advance Payment of Determined De
ficiency
B
IRS 6603 Deposits (cash bond)
5
Federal Tax Deposit
D
Branded Prescription
Drug Fee (only)
6
Estimated
*7200D does not have a paper form associated with it. It is the only tax type used for the Branded Prescription Drug Fee.
32
WIRE INSTRUCTIONS
Mandatory fields below are BOLD.
Receiving ABA/Routing Number
[3400]
091036164
Receiving FI Name [3400]
US TREAS SINGLE TX
Beneficiary [4200]
Note: Financial Institutions or vendors may
refer to this as the Beneficiary Account Number
Taxpayer Identification Number: Name Control: Taxpayer Name:
Tax Type: Tax Year: Tax Month
:
Example: 123456789:ABCC:ABC Company:94105:08:03:
This information is obtained from the worksheet lines 2-7 on page
31
Wires received after 5 p.m. ET will be rejected and returned to the financial institution. Federal Tax Collection
Service (FTCS) does not warehouse payments for the next business day
.
Errors in the information listed above or wires sent in an incorrect format may result in the wire being
rejected and returned, potentially causing a late payment and penalties
.
TRANSACTION CONFIRMATION
You may call FTCS at
1.800.382.0045
and follow the automated prompts to receive the 15-digit Electronic
Funds Transfer (EFT) number for your transaction
.
If the customer is enrolled in EFTPS, he or she may check
EFTPS.gov
or call
1.800.605.9876
the
business day after the transaction was completed to obtain the EFT acknowledgment number
.
15-digit EFT number
NOTE
If using FedLine
®
Advantage to make same-day federal tax payments (wires), financial institutions should use
the Federal Tax Payment Form.
SAME-DAY TAXPAYER WORKSHEET
