Form 760es - Virginia Estimated Income Tax Payment Vouchers For Individuals - 2015 Page 5
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8LOCALITY NO.
FOR OFFICE USE
2015 FORM 760ES - Voucher 2
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
Check here if this is your first payment for
CALENDAR YEAR FILERS: DUE JUNE 15, 2015 OR
this taxable year.
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 115061
Mail your voucher and payment to the Virginia Department of
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
pages 7-8 and use the mailing address shown for the city or
Your Social Security Number
Spouse’s Social Security Number
county where you live.
If you file with the Department, make your check payable to
First Name
MI Last Name
the Department of Taxation. If you file locally, make your check
payable to your local Treasurer.
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.
FOR OFFICE USE
2015 FORM 760ES - Voucher 3
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
Check here if this is your first payment for
CALENDAR YEAR FILERS: DUE SEPTEMBER 15, 2015 OR
this taxable year.
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 115096
Mail your voucher and payment to the Virginia Department of
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
pages 7-8 and use the mailing address shown for the city or
Your Social Security Number
Spouse’s Social Security Number
county where you live.
If you file with the Department, make your check payable to
the Department of Taxation. If you file locally, make your check
First Name
MI Last Name
payable to your local Treasurer.
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.
FOR OFFICE USE
2015 FORM 760ES - Voucher 4
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
Check here if this is your first payment for
CALENDAR YEAR FILERS: DUE JANUARY 15, 2016 OR
this taxable year.
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 116017
Mail your voucher and payment to the Virginia Department of
Taxation, P. O. Box 1478, Richmond, VA 23218-1478, or see
pages 7-8 and use the mailing address shown for the city or
Your Social Security Number
Spouse’s Social Security Number
county where you live.
If you file with the Department, make your check payable to
First Name
MI Last Name
the Department of Taxation. If you file locally, make your check
payable to your local Treasurer.
Spouse's First Name
MI Spouse's Last Name
Amount of payment
Address (Number and Street) of Taxpayer
City, State and ZIP Code
00
.
Daytime Phone Number
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