Form 760es - Estimated Income Tax Worksheet For Individuals - 2017 Page 2

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2017 FORM 760ES - Voucher 2
LOCALITY NO.
FOR OFFICE USE
Check if this is a new address.
Doc ID 762
Check here if this is your first payment for
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR INDIVIDUALS
this taxable year.
CALENDAR YEAR FILERS: DUE JUNE 15, 2017 OR
Important: New electronic filing and
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
payment requirements for estimated tax.
0000000000 7620000 117064 000
See instructions.
Mail your voucher and payment to the Virginia Department of
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
Your Social Security Number (SSN)
Spouses SSN (if filing a joint return)
pages 7-8 and use the address listed for the city or county
where you intend to file.
First Name
MI Last Name
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
payable to your local Treasurer.
Spouse's First Name (if filing a joint return)
MI Spouse's Last Name (if filing a joint return)
Amount of payment
Address (Number and Street) of Taxpayer
00
.
City, State and ZIP Code
Daytime Phone Number
2017 FORM 760ES - Voucher 3
LOCALITY NO.
FOR OFFICE USE
Check if this is a new address.
Doc ID 762
Check here if this is your first payment for
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR INDIVIDUALS
this taxable year.
CALENDAR YEAR FILERS: DUE SEPTEMBER 15, 2017 OR
Important: New electronic filing and
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
payment requirements for estimated tax.
0000000000 7620000 117099 000
See instructions.
Mail your voucher and payment to the Virginia Department of
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
Your Social Security Number (SSN)
Spouses SSN (if filing a joint return)
pages 7-8 and use the address listed for the city or county
where you intend to file.
First Name
MI Last Name
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
Spouse's First Name (if filing a joint return)
MI Spouse's Last Name (if filing a joint return)
payable to your local Treasurer.
Amount of payment
Address (Number and Street) of Taxpayer
00
.
City, State and ZIP Code
Daytime Phone Number
2017 FORM 760ES - Voucher 4
LOCALITY NO.
FOR OFFICE USE
Check if this is a new address.
Doc ID 762
Check here if this is your first payment for
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR INDIVIDUALS
this taxable year.
CALENDAR YEAR FILERS: DUE JANUARY 15, 2018 OR
Important: New electronic filing and
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
payment requirements for estimated tax.
0000000000 7620000 118011 000
See instructions.
Mail your voucher and payment to the Virginia Department of
Your Social Security Number (SSN)
Spouses SSN (if filing a joint return)
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
pages 7-8 and use the address listed for the city or county
where you intend to file.
First Name
MI Last Name
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
Spouse's First Name (if filing a joint return)
MI Spouse's Last Name (if filing a joint return)
payable to your local Treasurer.
Amount of payment
Address (Number and Street) of Taxpayer
00
City, State and ZIP Code
.
Daytime Phone Number

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