Form 500es - Virginia Estimated Income Tax Declaration For Corporations

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Return this voucher with a check or
FORM 500ES
VIRGINIA ESTIMATED INCOME TAX
money order made payable to the
DECLARATION FOR CORPORATIONS
(DOC ID 501)
Virginia Department of Taxation.
4
VOUCHER
VIRGINIA DEPARTMENT OF TAXATION
P.O. BOX 1500, RICHMOND, VA 23218-1500
FOR INFORMATION CALL (804) 367-8037
To be used for making
declaration and payment
00000000
3500306 000000
Month Ending Year Ending
To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.
Virginia Account Number
Federal Employer's ID Number
Calendar year:
OR;
(FOURTH INSTALLMENT DUE 12/15/05)
Fiscal year:
OR;
Name of corporation
First 4 letters of corp. name
Short taxable year:
Address (Number and street)
1. Estimated tax
$
.
for the year ....
Address continued
2. Amount of
City, State and Zip Code
.
$
this payment .
I declare that this declaration has been examined by me and to the best of my knowledge and
belief, it is a true, correct, complete declaration.
SIGNATURE
_______________________________________________________________________
Return this voucher with a check or
VIRGINIA ESTIMATED INCOME TAX
FORM 500ES
money order made payable to the
DECLARATION FOR CORPORATIONS
(DOC ID 501)
Virginia Department of Taxation.
3
VOUCHER
VIRGINIA DEPARTMENT OF TAXATION
P.O. BOX 1500, RICHMOND, VA 23218-1500
FOR INFORMATION CALL (804) 367-8037
To be used for making
declaration and payment
00000000
3500306 000000
Month Ending Year Ending
To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.
Virginia Account Number
Federal Employer's ID Number
Calendar year:
OR;
(THIRD INSTALLMENT DUE 9/15/05)
Fiscal year:
OR;
Name of corporation
First 4 letters of corp. name
Short taxable year:
Address (Number and street)
1. Estimated tax
$
.
for the year ....
Address continued
2. Amount of
.
City, State and Zip Code
$
this payment .
I declare that this declaration has been examined by me and to the best of my knowledge and
belief, it is a true, correct, complete declaration.
SIGNATURE
_______________________________________________________________________
FORM 500ES
Return this voucher with a check or
VIRGINIA ESTIMATED INCOME TAX
money order made payable to the
(DOC ID 501)
DECLARATION FOR CORPORATIONS
2
Virginia Department of Taxation.
VOUCHER
VIRGINIA DEPARTMENT OF TAXATION
P.O. BOX 1500, RICHMOND, VA 23218-1500
FOR INFORMATION CALL (804) 367-8037
To be used for making
declaration and payment
00000000
3500306 000000
Month Ending Year Ending
To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.
Calendar year:
OR;
Virginia Account Number
Federal Employer's ID Number
(SECOND INSTALLMENT DUE 6/15/05)
Fiscal year:
OR;
Name of corporation
First 4 letters of corp. name
Short taxable year:
Address (Number and street)
1. Estimated tax
$
.
for the year ....
Address continued
2. Amount of
.
City, State and Zip Code
$
this payment .
I declare that this declaration has been examined by me and to the best of my knowledge and
belief, it is a true, correct, complete declaration.
SIGNATURE
_______________________________________________________________________

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