Form 500e - Virginia Corporate Income Tax Extension Payment Voucher And Tentative Tax Return

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For information call (804) 367-8036
500E
Virginia Corporate Income Tax
An extension of six months, or until 30 days after the extended due date for the
federal return, whichever is later, will be granted provided that this form and payment
Extension Payment Voucher and
of tax due are received by the due date of the corporate return. This form must
Tentative Tax Return
be filed to receive an extension for filing even when no payment is
Virginia Department of Taxation
due. Electronic Funds Transfer (EFT) filers may either submit this form or
PO Box 1500
may report a zero EFT corporate extension. If no payment is due when
Richmond, VA 23218-1500
submitting this form, enter a zero in the net tentative tax payment block below.
DO NOT SUBMIT FORM ANY LARGER THAN 7
1
/
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3
2
/
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2
3
Virginia Account Number
Federal Employer's ID Number
For the Taxable Year Ending
Check Type of Return
500
500S
MO
YR
Name of corporation
Address (Number and street)
$
Net tentative
tax payment . . . . . .
City, State, and ZIP code
Make check or money order payable to
Virginia Department of Taxation.
I declare that this return has been examined by me and to the best of my knowledge and
belief is a true, correct and complete return.
Signature
(
)
DATE:
TELEPHONE NO.
Official form is smaller than full page. Please cut to size along dark lines before filing.
Filing a form the wrong size may result in rejection of the form,
and the state returning the form to you.

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