Form 500v - Virginia Corporation Income Tax Payment Voucher

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Attention: The payment for the total due on Form 500 must be 
made through the e-File system, when filing the return, using 
eForms, or with an ACH Credit from your bank. 
Use this voucher only if you have an approved waiver. To request 
a waiver, follow the instructions at: 
(804) 440-2541 to obtain a waiver request form.
FORM 500V
Virginia Corporation Income Tax Payment Voucher
(DOC ID 500)
Virginia Department of Taxation
PO Box 1500, Richmond, VA 23218-1500
(804) 367-8037
Attention: Payment must be made electronically through the
e-File system, eForms, or with an ACH credit from your bank.
0000000000000000 5050000 000000
Use this voucher only if you have an approved waiver.
To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.
Month Ending Year Ending
12
Calendar year:
OR;
 
FEIN                                        
Fiscal year:
OR;
 
Short taxable year:
  Name of Corporation 
      First 4 letters of Corp. name
  Address (Number and Street)
  Address (continued)
Amount of this payment 
  City, State, and ZIP Code
0 0
.
$
  Date 
Phone Number
VA DEPT OF TAXATION 2601205 500V (REV. 7/14)

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