Form 770es - Virginia Estimated Income Tax Worksheet & Vouchers - 2015 Page 2

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2015 FORM 770ES - Voucher 2
LOCALITY NO.
FOR OFFICE USE
Check here if this is the first time you
Doc ID 772
have filed Form 770ES or if this is a
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND
new address.
UNIFIED NONRESIDENTS
Check here if this is your first payment for
CALENDAR YEAR FILERS: DUE JUNE 15, 2015 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
this taxable year.
Mail your voucher and payment to the Virginia Department of
0000000000 7720000 115061
Taxation, P. O. Box 1478, Richmond, VA 23218-1478 or see
pages 7-8 and use the mailing address shown for the city or
county where you live.
FEIN for Estate, Trust or Unified Filer
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
Name of Estate, Trust or Unified Filer
payable to your local Treasurer.
Name and Title of Fiduciary or Unified Filer
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number
2015 FORM 770ES - Voucher 3
LOCALITY NO.
FOR OFFICE USE
Doc ID 772
Check here if this is the first time you
VIRGINIA ESTIMATED INCOME TAX
have filed Form 770ES or if this is a
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND
new address.
UNIFIED NONRESIDENTS
CALENDAR YEAR FILERS: DUE SEPTEMBER 15, 2015 OR
Check here if this is your first payment for
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
this taxable year.
Mail your voucher and payment to the Virginia Department of
0000000000 7720000 115096
Taxation, P. O. Box 1478, Richmond, VA 23218-1478 or see
pages 7-8 and use the mailing address shown for the city or
county where you live.
FEIN for Estate, Trust or Unified Filer
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
Name of Estate, Trust or Unified Filer
payable to your local Treasurer.
Name and Title of Fiduciary or Unified Filer
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number
2015 FORM 770ES - Voucher 4
LOCALITY NO.
FOR OFFICE USE
Doc ID 772
Check here if this is the first time you
VIRGINIA ESTIMATED INCOME TAX
have filed Form 770ES or if this is a
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND
new address.
UNIFIED NONRESIDENTS
CALENDAR YEAR FILERS: DUE JANUARY 15, 2016 OR
CALENDAR YEAR FILERS: DUE JANUARY 15, 2016 OR
Check here if this is your first payment for
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
this taxable year.
Mail your voucher and payment to the Virginia Department of
0000000000 7720000 116017
Taxation, P. O. Box 1478, Richmond, VA 23218-1478 or see
pages 7-8 and use the mailing address shown for the city or
county where you live.
FEIN for Estate, Trust or Unified Filer
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
Name of Estate, Trust or Unified Filer
payable to your local Treasurer.
Name and Title of Fiduciary or Unified Filer
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number

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