Electronic Filing Waiver Request Form - Virginia

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Virginia Electronic Filing Waiver Request
If you need time to make the changes to file and pay electronically for your business, complete this form to
request a temporary waiver. Provide all information.
Temporary waivers may be granted for up to one year. If you need additional time once the waiver ends, you
must submit a new request.
Business Information
If you are a Tax Preparer submitting requests for multiple businesses, provide your contact information below
and attach a list of all businesses with the Name and FEIN of each business included.
•
Business Name:
•
FEIN:
•
Mailing Address:
•
Contact Name:
•
Phone Number:
•
Waiver Requested Until (Enter Date):
Waiver Type (Mark each checkbox that applies to your request.)
•
Corporation Income Tax
File Return Electronically
Pay Electronically
•
Sales Tax
File Return Electronically
Pay Electronically
•
Employer Withholding Tax
File Return Electronically
Pay Electronically
•
Employer W-2s
File W-2 Statements Electronically
Reason for Request
Fax to: (804) 367-3015
Mail to:
Virginia Department of Taxation
Or
Waiver Request
PO Box 27423
Richmond, VA 23261
Virginia Electronic Filing Waiver Request
Rev 05/13

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