Form Pv Corp - Corporate Payment Voucher

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State of Georgia Department of Revenue
KEEP THESE INSTRUCTIONS AND WORKSHEET WITH YOUR RECORDS
Instructions
1. Download (free) the latest version of Adobe Reader.
2. Complete the worksheet below to automatically create your payment voucher.
3. Click the “Print” button to print a completed PV CORP payment voucher.
4. Sign and date the payment voucher.
5. Cut the payment voucher along the dotted line and mail the voucher and your payment only to
the address on the voucher
DO NOT fold, staple or paper clip items being mailed.
DO NOT mail in the worksheet, keep this for your records
PV CORP Worksheet
1. FEI Number :
2. Email Address :
3. Current Name :
4. Street Address Line 1 :
5. City :
6. State :
7. Zip :
-
8. Title:
Telephone :
9. Select Type Of Return :
Paper Return :
Electronically Filed :
10.
Income Tax Year : .........................................................................
11.
Fiscal Year Beginning : .................................................................
12. Fiscal Year Ending : ....................................................................
13. Amount Paid : ..............................................................................
Print
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