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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 4
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 04
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 3
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 03
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