Form 760es - Virginia Estimated Income Tax Payment Vouchers For Individuals - 2016 Page 3

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2016 ESTIMATED INCOME TAX WORKSHEET FOR INDIVIDUALS
SPOUSE USE
YOURSELF
PART I - COMPUTE YOUR ESTIMATED 2016 VIRGINIA INCOME TAX
ONLY when using
Use for all
filing Status 4 on
other filers
See the instruction book for the income tax return you will file to determine the amounts for Lines 1 through 4.
Form 760PY
1. Expected Virginia ADJUSTED GROSS INCOME subject to tax in 2016 (includes the age deduction plus
additions to and subtractions from federal adjusted gross income).
Refer to Section I on Page 1 to see if you are required to file Form 760ES. . . . . . . . . . . . . . . . . . . . . . . 1
2a If you will itemize deductions on your 2016 federal return, enter the estimated total of those deductions,
less state and local tax (Fixed Date Conformity adjustments should be made where applicable). . . . . . . . 2a
OR
2b If you will not itemize deductions, enter the standard deduction amount for your filing status.
Single: $3,000, Married, filing joint or combined return: $6,000, Married, filing separately: $3,000 . . . . . . 2b
3. Expected amount of qualifying child and dependent care expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Personal exemptions (Personal exemptions X $930. Exemptions for "65 or older" & "Blind" X $800) . . . . 4
5 Add Line 2a OR Line 2b, Line 3 and Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6. Estimated Virginia Taxable Income (Line 1 less Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7. Virginia Income Tax for the amount on Line 6 (See Tax Rate Schedule in Section III). . . . . . . . . . . . . . . . 7
8. Tax Adjustments (See Tax Credits and Adjustments in Section III) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9. Your Estimated 2016 Virginia Income Tax (Line 7 less Line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10. Total Estimated 2016 Virginia Income Tax (Line 9, Column A plus Column B). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Section I before continuing to see if you are required to make estimated income tax payments.
Refer to
PART II - COMPUTE YOUR ESTIMATED INCOME TAX PAYMENTS
11. Estimated 2016 Virginia income tax (Enter the amount from Line 10 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12. Amount you estimate will be withheld from your wages for the year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13. Estimated income tax due (Line 11 less Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14. Enter the number of payments required (See Section II or the Payment Schedule below) . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15. INSTALLMENT PAYMENT AMOUNT. Divide the amount on Line 13 by the number of payments on Line 14.
(If you had a 2015 overpayment credit, subtract the amount of the overpayment credit that you are applying to
this installment.) Enter the amount here and on Form 760ES. Enclose your check or money order for this amount* . . . 15
* To pay electronically, see the Department's website
. Use the estimated tax payment record section to record your tax payments.
PAYMENT SCHEDULE
The estimated income tax return and payment of an individual, other than a self-employed farmer, fisherman, or merchant seaman is to be filed on or before
May 1 of the taxable year, unless the requirements to file are not met until after April 15. Use the table below to determine the number and amount of each
installment payment. (Fiscal year filers substitute the corresponding fiscal year months for the months specified in this table.)
IF THE REQUIREMENTS ARE
NUMBER OF
FILE FORM
USE
THE FOLLOWING PERCENTAGES OF THE ESTIMATED
FIRST MET IN THE
PAYMENTS
760ES ON
VOUCHER
TAX ARE TO BE PAID ON OR BEFORE —
TAXABLE YEAR -
REQUIRED
OR BEFORE
NUMBER
May 1
June 15
September 15
January 15
on or before April 15th
4
May 1, 2016
1
25%
25%
25%
25%
1
1
1
after April 15th and before June 2nd
3
June 15, 2016
2
33
/
%
33
/
%
33
/
%
. . . . . . . . . .
3
3
3
after June 1st and before Sept. 2nd
2
Sept. 15, 2016
3
50%
50%
. . . . . . . . . .
. . . . . . . . . .
after Sept. 1st and before Dec. 31st
1
Jan. 15, 2017
4
100%
. . . . . . . . . .
. . . . . . . . . .
. . . . . . . . . .
LOCALITY NO.
FOR OFFICE USE
2016 FORM 760ES - Voucher 1
Check if this is a new address.
Doc ID 762
Check here if this is your first payment for
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR INDIVIDUALS
this taxable year.
CALENDAR YEAR FILERS: DUE MAY 1, 2016 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 116051 000
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 address listed for the city or county
Your Social Security Number (SSN)
Spouses SSN (if filing a joint return)
where you intend to file.
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 (if filing a joint return)
MI Spouse's Last Name (if filing a joint return)
Amount of payment
Address (Number and Street) of Taxpayer
City, State and ZIP Code
00
.
Daytime Phone Number

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