Form 760es - Virginia Estimated Income Tax Payment Vouchers For Individuals - 2016 Page 5
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LOCALITY NO.
2016 FORM 760ES - Voucher 2
FOR OFFICE USE
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 JUNE 15, 2016 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 116068 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
00
.
City, State and ZIP Code
Daytime Phone Number
LOCALITY NO.
2016 FORM 760ES - Voucher 3
FOR OFFICE USE
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 SEPTEMBER 15, 2016 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 116092 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
00
.
City, State and ZIP Code
Daytime Phone Number
LOCALITY NO.
2016 FORM 760ES - Voucher 4
FOR OFFICE USE
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 JANUARY 15, 2017 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
0000000000 7628888 117013 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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