Form 760es - Virginia Estimated Income Tax Payment Vouchers For Individuals - 2012 Page 3
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2012 ESTIMATED INCOME TAX WORKSHEET FOR INDIVIDUALS
SPOUSE USE
YOURSELF
PART I - COMPUTE YOUR ESTIMATED 2012 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 2012 (includes the age deduction plus
additions to and subtractions from federal adjusted gross income)
See Section I on Page 1 to see if you are required to file Form 760ES. . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2a If you will itemize deductions on your 2012 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 over" & "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 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 2012 VIRGINIA INCOME TAX (Line 7 less Line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10. TOTAL ESTIMATED 2012 VIRGINIA INCOME TAX (Line 9, Column A plus Column B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
See Section I before continuing to see if you are required to make estimated income tax payments.
PART II - COMPUTE YOUR ESTIMATED INCOME TAX PAYMENTS
11. Estimated 2012 Virginia income tax (Enter 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 2011 overpayment credit, subtract the amount of the overpayment credit that you are applying to
this installment.) Enter the amount here and on Form 760ES. Attach your check or money order for this amount* . . . . 15
* To pay electronically, see our 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, 2012
1
25%
25%
25%
25%
after April 15th and before June 2nd
3
June 15, 2012
2
33
1
/
%
33
1
/
%
33
1
/
%
. . . . . . . . . .
3
3
3
after June 1st and before Sept. 2nd
2
Sept. 15, 2012
3
50%
50%
. . . . . . . . . .
. . . . . . . . . .
after Sept. 1st and before Dec. 31st
1
Jan. 15, 2013
4
100%
. . . . . . . . . .
. . . . . . . . . .
. . . . . . . . . .
2012 FORM 760ES - Voucher 1
LOCALITY NO.
FOR OFFICE USE
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
CALENDAR YEAR FILERS: DUE MAY 1, 2012 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7620000 112054
county in which the individual qualified.
If this is your first payment for this taxable year,
CHECK BOX and mail payment to your Commissioner
Your Social Security Number
Spouse’s Social Security Number
of the Revenue, Director of Finance or Director of Tax
Administration.
First Name
MI Last Name
Mail all other vouchers to the Treasurer.
Addresses are at the end of this document.
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
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