LOCALITY NO.
2014 FORM 760ES - Voucher 2
FOR OFFICE USE
Check here if this is the first time you
Doc ID 762
have filed Form 760ES or if this is a
VIRGINIA ESTIMATED INCOME TAX
new address.
PAYMENT VOUCHER FOR INDIVIDUALS
CALENDAR YEAR FILERS: DUE JUNE 15, 2014 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7628888 114065
county in which the individual qualified.
If this is your first payment for this taxable year,
CHECK BOX and mail payment to your Commissioner
Your Social Security Number
Spouse’s Social Security Number
of the Revenue, Director of Finance or Director of Tax
Administration.
First Name
MI Last Name
Mail all other vouchers to the Treasurer.
Addresses are at the end of this document.
Spouse's First Name
MI Spouse's Last Name
Amount of payment
Address (Number and Street) of Taxpayer
00
.
City, State and ZIP Code
Daytime Phone Number
LOCALITY NO.
2014 FORM 760ES - Voucher 3
FOR OFFICE USE
Check here if this is the first time you
Doc ID 762
have filed Form 760ES or if this is a
VIRGINIA ESTIMATED INCOME TAX
new address.
PAYMENT VOUCHER FOR INDIVIDUALS
CALENDAR YEAR FILERS: DUE SEPTEMBER 15, 2014 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7628888 114091
county in which the individual qualified.
If this is your first payment for this taxable year,
CHECK BOX and mail payment to your Commissioner
Your Social Security Number
Spouse’s Social Security Number
of the Revenue, Director of Finance or Director of Tax
Administration.
First Name
MI Last Name
Mail all other vouchers to the Treasurer.
Addresses are at the end of this document.
Spouse's First Name
MI Spouse's Last Name
Amount of payment
Address (Number and Street) of Taxpayer
00
.
City, State and ZIP Code
Daytime Phone Number
LOCALITY NO.
2014 FORM 760ES - Voucher 4
FOR OFFICE USE
Check here if this is the first time you
Doc ID 762
have filed Form 760ES or if this is a
VIRGINIA ESTIMATED INCOME TAX
new address.
PAYMENT VOUCHER FOR INDIVIDUALS
CALENDAR YEAR FILERS: DUE JANUARY 15, 2015 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7628888 115010
county in which the individual qualified.
If this is your first payment for this taxable year,
CHECK BOX and mail payment to your Commissioner
Your Social Security Number
Spouse’s Social Security Number
of the Revenue, Director of Finance or Director of Tax
Administration.
First Name
MI Last Name
Mail all other vouchers to the Treasurer.
Spouse's First Name
MI Spouse's Last Name
Addresses are at the end of this document.
Amount of payment
Address (Number and Street) of Taxpayer
City, State and ZIP Code
00
.
Daytime Phone Number