Form 760-Pmt - Virginia Payment Coupon - 2015
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1VIRGINIA DEPARTMENT OF TAXATION
FORM 760-PMT - 2015 PAYMENT COUPON
If you file your return electronically, pay your tax online through e-File. It is the fastest, most efficient way to
pay the tax due. Visit the Department’s website at for additional information.
TO BE SURE THAT YOUR PAYMENT IS APPLIED CORRECTLY,
FOLLOW THESE INSTRUCTIONS:
If you filed a 2015 Form 760, Form 760PY or Form 763 and owe tax, but did not submit payment with the
return, use this form to send in your payment on or before the due date.
• If the return was filed electronically through e-File or mailed directly to the Department, make your
check payable to the Department of Taxation and mail the payment with the voucher below to:
Virginia Department of Taxation
P. O. Box 1478
Richmond, VA 23218-1478
• If the return was filed with the Commissioner of the Revenue for your locality, make your check payable
to your local Treasurer and mail the payment to your locality so that the payment will be credited to
your account at the local office.
Do not send a copy of your return with your payment. If a copy of the return is sent, the payment will not be
posted properly to the account.
COMPLETE THE PAYMENT COUPON BY
INCLUDING THE FOLLOWING INFORMATION:
Your Social Security Number (SSN) and Spouse’s SSN (if filing a joint return). This must match the information
on your return.
Your name and spouse’s name (if filing a joint return), address, and phone number.
The amount of the enclosed payment.
Make sure that your SSN is written on the check.
Due Date: If your full payment is not postmarked by May 2, 2016, you will be sent a bill for tax, penalty and
interest. For additional information visit: or call (804) 367-8031.
Va. Dept. of Taxation 760PMT Rev 10/15
Form 760-PMT 2015 Payment Coupon
Your Social Security Number
Spouse’s Social Security Number
No Staples Please*
(DOC ID 761)
*
To Be Used For Payments On Previously
Filed 2015 Individual Income Tax Returns Only
0000000000 7618888 115002
If your return was filed through e-file or submitted directly to the
Department, make your check payable to the Department of
Taxation and mail to the VA Department of Taxation, P. O. Box
1478, Richmond, VA 23218-1478.
Name(s)
If your return was filed with your local Commissioner of the
Revenue, make your check payable to your local Treasurer
Address
send your payment to the locality where you filed the return.
City
State
ZIP
Amount of
0 0
Daytime Phone Number
.
Payment
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