Form 500v - Virginia Corporation Income Tax Payment Voucher
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1Attention: The payment for the total due on Form 500 must be
made through the e-File system (when filing the return) through
the eForms system, or with an ACH Credit from your bank.
Use this voucher only if you have an approved waiver. To request
a waiver, follow the instructions at:
(804) 367-8037 to obtain a waiver request form.
FORM 500V
Virginia Corporation Income Tax Payment Voucher
(DOC ID 500)
Virginia Department of Taxation
PO Box 1500, Richmond, VA 23218-1500
(804) 367-8037
Attention: Payment must be made electronically through the
e-File system, eForms, or with an ACH credit from your bank.
Use this voucher only if you have an approved waiver.
0000000000000000 5050000 000000
Enter the ending month (numerical) and year.
Month Ending Year Ending
FEIN
12
Calendar year:
OR;
Fiscal year:
OR;
Name of Corporation
First 4 letters of Corp. name
Short taxable year:
Address (Number and Street)
Address (continued)
Amount of this payment
City, State, and ZIP Code
0 0
.
$
Date
Phone Number
VA DEPT OF TAXATION 2601205 500V (REV. 7/15)
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