Form Ct-V - Pa Corporation Taxes Fed/state Payment Voucher
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1INSTRUCTIONS FOR CT-V
PA CORPORATION TAXES FED/STATE PAYMENT VOUCHER
1. Enter your account information including Account ID, tax period (month/year)
ending, Entity ID (EIN), corporation name, and state of incorporation.
2. Enter payments that are due and included for Capital Stock/Foreign Franchise
(CS/FF), Loans, and Corporate Net Income (CNI) Taxes. Also enter the Total
Payment on Line 4 (add Lines 1, 2 and 3).
3. Signature, title, date and telephone number must be provided by a
representative of the corporation.
4. Make checks payable to “PA Department of Revenue” equal to the Total
Payment on Line 4. Mail the check and payment voucher to:
PA Department of Revenue
PO Box 280427
Harrisburg PA 17128-0427
DETACH HERE BEFORE MAILING
CT-V
(8-07)
PA CORPORATION TAXES
DEPT USE ONLY
PA DEPARTMENT OF REVENUE
FED/STATE PAYMENT VOUCHER
BUREAU OF CORPORATION TAXES
F
ACCOUNT ID
PERIOD ENDING
ENTITY ID (EIN)
O O
1. CS/FF TAX PAYMENT
•
CORPORATION NAME
O O
2. LOANS TAX PAYMENT
•
STATE OF INCORPORATION
O O
3. CNI TAX PAYMENT
•
NEW CORPORATIONS (ENTER NEW ADDRESS)
STREET
$
O O
4. TOTAL PAYMENT
•
Make checks payable to “PA DEPT OF REVENUE.”
CITY
STATE
ZIP
If the above payment is being transmitted by EFT,
Do Not Mail This Coupon (see instructions).
PLEASE READ THE INSTRUCTIONS BEFORE COMPLETING THIS COUPON
DATE
TELEPHONE
SIGNATURE
TITLE
(
)
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Parent category: Financial