Form 500es - Commonwealth Of Virginia Corporation Estimated Income Tax Payment Vouchers - 2012 Page 3
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4Please cut along
dashed lines below.
File Vouchers in Number Sequence
Order 1,2,3,4.
Do not submit this entire page.
Form 500ES
Virginia Estimated Tax Declaration For Corporations
Virginia Estimated Tax Declaration For Corporations
VOUCHER 2
Virginia Department of Taxation
Virginia Department of Taxation
(DOC ID 501)
P. O. Box 1500, Richmond, VA 23218-1500
P. O. Box 1500, Richmond, VA 23218-1500
(804) 367-8037
(804) 367-8037
File and Pay Online Instead
0000000000000000 5010000 000000 02
35-
VA Account Number
For mo./yr. ending
Name of corporation
Federal Employer’s ID Number
1. Estimated tax
for the year ...... $
Address (Number and street)
2. Amount of this
Address continued
payment ........... $
v
City, State and ZIP Code
— Do not write below this line. —
I declare that this declaration has been examined by me & to the best of my knowledge & belief, it is a true, correct & complete.
Signature
Date
Phone
Form 500ES
Virginia Estimated Tax Declaration For Corporations
VOUCHER 1
Virginia Department of Taxation
(DOC ID 501)
P. O. Box 1500, Richmond, VA 23218-1500
(804) 367-8037
File and Pay Online Instead
0000000000000000 5010000 000000 01
35-
VA Account Number
For mo./yr. ending
Name of corporation
Federal Employer’s ID Number
1. Estimated tax
for the year ...... $
Address (Number and street)
2. Amount of this
Address continued
payment ........... $
v
City, State and ZIP Code
— Do not write below this line. —
I declare that this declaration has been examined by me & to the best of my knowledge & belief, it is a true, correct & complete.
Signature
Date
Phone
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