Form 760-Pmt - Payment Coupon - 2014

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If you file your return electronically, pay your tax online through e-File. It is the fastest, most efficient way to
pay the tax due. Visit the Department’s website at for additional information.
 If you filed a 2014 Form 760, Form 760PY or Form 763 and owe tax, but did not send in your payment
with the return, use this form to send in your payment on or before the due date.
 This form can be used to make a payment for taxable year 2014 electronic or paper returns.
 Please do not send a paper copy of your return with your payment. If a paper copy of the return is sent,
the payment will not be properly posted to the account.
Complete the Payment Coupon by including the following information:
 Your Social Security Number and Spouse’s Social Security Number (if filing a joint return). This must
match the information on your return.
 Your name and spouse’s name (if filing a joint return), address, and phone number.
 The amount of the enclosed payment.
 Make sure that your Social Security Number is written on the check. Mail your payment and the payment
coupon below to:
Virginia Department of Taxation
P. O. Box 1478
Richmond, VA 23218-1478
 Due Date: Please note that if your full payment is not postmarked by May 1, 2015, you will be sent a bill
for tax, penalty and interest. For additional information visit: or call (804) 367-8031.
Detach Form 760-PMT. Complete the form and mail it with your check to the address shown on the form.
Va. Dept. of Taxation 760PMT REV 06/14
Form 760-PMT 2014 Payment Coupon
Your Social Security Number
Spouse’s Social Security Number
Please do not staple
(DOC ID 761)
To Be Used For Payments On Previously
Filed 2014 Individual Income Tax Returns Only
0000000000 7618888 114006
Mail Payment To:
VA Department of Taxation
P.O. Box 1478
Richmond, VA 23218-1478
Make your check payable to the
Virginia Department of Taxation
Amount of
0 0
Daytime Phone Number


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