Form 770es - Virginia Estimated Income Tax Payment Vouchers - 2012 Page 5

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2012 FORM 770ES - Voucher 2
LOCALITY NO.
FOR OFFICE USE
Check here if this is the first time you
Doc ID 772
have filed Form 770ES or if this is a
VIRGINIA ESTIMATED INCOME TAX
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND UNI-
new address.
FIED NONRESIDENTS
CALENDAR YEAR FILERS: DUE JUNE 15, 2012 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7720000 112062
county in which the fiduciary qualified.
If this is your first payment for this taxable year,
FEIN for Estate, Trust or Unified Filer
CHECK BOX and mail payment to your Commissioner
of the Revenue, Director of Finance or Director of Tax
Administration.
Name of Estate, Trust or Unified Filer
Mail all other vouchers to the Treasurer.
Name and Title of Fiduciary or Unified Filer
Addresses are at the end of this document.
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number
2012 FORM 770ES - Voucher 3
LOCALITY NO.
FOR OFFICE USE
Doc ID 772
Check here if this is the first time you
VIRGINIA ESTIMATED INCOME TAX
have filed Form 770ES or if this is a
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND UNIFIED
new address.
NONRESIDENTS
CALENDAR YEAR FILERS: DUE SEPTEMBER 15, 2012 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7720000 112097
county in which the fiduciary qualified.
If this is your first payment for this taxable year,
FEIN for Estate, Trust or Unified Filer
CHECK BOX and mail payment to your Commissioner
of the Revenue, Director of Finance or Director of Tax
Administration.
Name of Estate, Trust or Unified Filer
Mail all other vouchers to the Treasurer.
Name and Title of Fiduciary or Unified Filer
Addresses are at the end of this document.
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number
2012 FORM 770ES - Voucher 4
LOCALITY NO.
FOR OFFICE USE
Check here if this is the first time you
Doc ID 772
VIRGINIA ESTIMATED INCOME TAX
have filed Form 770ES or if this is a
PAYMENT VOUCHER FOR ESTATES, TRUSTS AND UNIFIED
new address.
NONRESIDENTS
CALENDAR YEAR FILERS: DUE JANUARY 15, 2013 OR
FISCAL YEAR FILERS: BEGINNING MONTH: ______________
Make your check payable to the Treasurer of the city or
0000000000 7720000 113018
county in which the fiduciary qualified.
If this is your first payment for this taxable year,
CHECK BOX and mail payment to your Commissioner
FEIN for Estate, Trust or Unified Filer
of the Revenue, Director of Finance or Director of Tax
Administration.
Name of Estate, Trust or Unified Filer
Mail all other vouchers to the Treasurer.
Name and Title of Fiduciary or Unified Filer
Addresses are at the end of this document.
Amount of payment
Address (Number and Street) of Fiduciary or Unified Filer
00
City, State and ZIP Code
.
Daytime Phone Number

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