Form 500v - Virginia Corporation Income Tax Payment Voucher

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Attention: Return Payment must be
made through the e-File system when
filing the return 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 this web
address: or
call 804 440-2541 to obtain a
waiver request form.
FORM
VIRGINIA CORPORATION INCOME TAX PAYMENT VOUCHER
500V
VIRGINIA DEPARTMENT OF TAXATION
Check type of return
(DOC ID 500)
P.O. BOX 1500, RICHMOND, VA 23218-1500
 
original
FOR INFORMATION CALL (804) 367-8037.
 
amended
0000000000000000 5050000 000000
Month Ending Year Ending
To receive credit for your payment in the correct tax year, please enter the ending month (numerical) and year.
12
Calendar year:
OR;
Federal Employer ID Number
Entity Type
Fiscal year:
OR;
Name of corporation
Short taxable year:
First 4 letters of corp. name
Address (Number and Street)
Address continued
Amount of this payment
City, State and ZIP Code
0 0
.
$
Date
Telephone Number
VA DEPT OF TAXATION 2601205 500V (REV. 7/12)

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