Form It 560 C - Payment Of Income Tax Income/net Worth Payment Voucher

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State of Georgia Department of Revenue
KEEP THESE INSTRUCTIONS AND WORKSHEET WITH YOUR RECORDS
Instructions
1. Download (free) the latest version of Adobe Reader.
2. Complete the worksheet below to automatically create your payment voucher.
3. Sign and date the payment voucher.
4. Click the “Print” button to print a completed IT560C payment voucher.
5. Cut the payment voucher along the dotted line and mail the voucher and your payment only to
the address on the voucher.
DO NOT fold, staple or paper clip items being mailed.
DO NOT mail in the worksheet, keep this for your records.
IT560C Worksheet
1. FEI Number :
2. Income Tax Year :
Beginning Date:
3.
Ending Date:
4.
5.
Current Name :
6. Street Address Line 1 :
7. City :
8. State :
9. Zip :
-
10.
Select Type Of Return :
Composite :
Corporate :
Net Worth :
11.
Check if : ........................
Address Change :
Name Change :
12.
Amount Paid : ............................................................................
Print
Clear

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