Form Cr Pv - Composite Return Payment - 2016 Page 2
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1
2Instructions for the Composite Return Payment Voucher
For faster and more accurate posting to your account, use a payment voucher with a valid scanline
from the Georgia Department of Revenue’s website or one produced by an
approved software company listed at /approved-software-vendors.
Only complete this voucher if you owe taxes.
Complete the name and address field located on the voucher.
Please write your FEIN on your check or money order.
Remove your check stub to keep with your records.
If the due date falls on a weekend or holiday, the tax shall be due on the next day that is not a
weekend or holiday.
Mail only your voucher and payment to:
Processing Center
Georgia Department of Revenue
P O Box 740240
Atlanta, Georgia 30374-0240
See Form IT-CR for detailed instructions on how to file Composite Return.
Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United
States, free of any expense to the State of Georgia.
PLEASE DO NOT mail this entire page. Please cut along dotted line and mail only coupon and paymen . t
PLEASE DO NOT STAPLE. PLEASE REMOVE ALL CHECK STUBS.
Cut along dotted line
Cut along dotted line
MAIL TO:
CR PV
(Rev. 06/08/16)
Processing Center
Composite Return Payment
Georgia Department of Revenue
Telephone No. 1-877-423-6711
PO Box 740240
2016
Atlanta, GA 30374-0240
Name Change
Address Change
FEI Number
Tax Period Ending
Vendor Code
NAME AND ADDRESS
040
Under penalty of perjury, I declare that this return has been examined by me and to the best of my
knowledge and belief it is true, correct and complete. Georgia Public Revenue Code Section 48-2-31
stipulates that taxes shall be paid in lawful money of the United States, free of any expense to the State of
Georgia.
Signature
Title
Telephone
Date
$
Amount Paid
PLEASE DO NOT STAPLE. REMOVE ALL CHECK STUBS.
07100000000002200000004000000000004
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