Form 500es - Declaration Of Estimated Income Tax For Corporations

VIRGINIA ESTIMATED INCOME TAX

FORM 500ES

DECLARATION FOR CORPORATIONS

VOUCHER 4

VIRGINIA DEPARTMENT OF TAXATION

To be used for making

P.O. BOX 1500, RICHMOND, VIRGINIA 23218-1500

declaration and payment.

FOR INFORMATION CALL (804) 367-8036

To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.

THIS PAYMENT IS FOR:

Calendar year:

Ending Month__ __

__ __ __ __

(FOURTH INSTALLMENT DUE 12/15/01) OR;

Fiscal month and year ending:

Ending Month __ __

__ __ __ __

OR;

Short taxable year: Ending Month __ __

__ __ __ __

Virginia Account Number

Federal Employer’s ID Number

1. Estimated tax for the year ........

Name of corporation

2. Amount of this payment ...........

Address (Number and street)

Return this voucher with a check or money order

City, State, and ZIP Code

made payable to the Virginia Department of Taxation.

I declare that this declaration has been examined by me and to the best of my knowledge and belief it is a

true, correct, and complete declaration.

Signature

VIRGINIA ESTIMATED INCOME TAX

FORM 500ES

DECLARATION FOR CORPORATIONS

VOUCHER 3

VIRGINIA DEPARTMENT OF TAXATION

To be used for making

P.O. BOX 1500, RICHMOND, VIRGINIA 23218-1500

declaration and payment.

FOR INFORMATION CALL (804) 367-8036

To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.

THIS PAYMENT IS FOR:

Calendar year:

Ending Month__ __

__ __ __ __

(THIRD INSTALLMENT DUE 9/15/01) OR;

Fiscal month and year ending:

Ending Month __ __ __ __ __ __

OR;

Short taxable year:

Ending Month __ __

__ __ __ __

Virginia Account Number

Federal Employer’s ID Number

1. Estimated tax for the year .......

Name of corporation

Address (Number and street)

2. Amount of this payment ..........

Return this voucher with a check or money order made

City, State, and ZIP Code

payable to the Virginia Department of Taxation.

I declare that this declaration has been examined by me and to the best of my knowledge and belief it is a

true, correct, and complete declaration.

Signature

FORM 500ES

VIRGINIA ESTIMATED INCOME TAX

VOUCHER 2

DECLARATION FOR CORPORATIONS

VIRGINIA DEPARTMENT OF TAXATION

To be used for making

P.O. BOX 1500, RICHMOND, VIRGINIA 23218-1500

declaration and payment.

FOR INFORMATION CALL (804) 367-8036

To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.

THIS PAYMENT IS FOR:

Calendar year:

Ending Month__ __

__ __ __ __

(SECOND INSTALLMENT DUE 6/15/01) OR;

Fiscal month and year ending:

Ending Month __ __ __ __ __ __

OR;

Short taxable year: Ending Month __ __

__ __ __ __

Virginia Account Number

Federal Employer’s ID Number

Name of corporation

1. Estimated tax for the year .......

Address (Number and street)

2. Amount of this payment ..........

City, State, and ZIP Code

Return this voucher with a check or money order made

payable to the Virginia Department of Taxation.

I declare that this declaration has been examined by me and to the best of my knowledge and belief it is a

true, correct, and complete declaration.

Signature

Form 500es - Declaration Of Estimated Income Tax For Corporations - 2001 Page 3

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