Form Pv Corp - Corporate Payment Voucher - Georgia Department Of Revenue Page 2
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1
2Instructions for the Payment Voucher (PV CORP)
1. Only complete this voucher if you owe taxes.
2. If you are filing a paper return mail your return, PV Corp and your payment to the address that
appears on the return.
3. Do not mail your paper return with your voucher and payment if you are filing electronically.
Mail only your voucher and payment to the address below.
4. Write your Federal Employer Identification Number on your check or money order.
5. Do not use staples to attach your check. Remove your check stub and keep with
your records.
For faster and more accurate posting to your account, use a payment voucher with a valid scanline
from Georgia Department of Revenue’s website or one produced by an approved
software company listed at
PLEASE DO NOT mail this entire page. Please cut along dotted line and mail only coupon and payment.
PLEASE DO NOT STAPLE. PLEASE REMOVE ALL CHECK STUBS.
Cut along dotted line
PV CORP
MAIL TO:
(Rev. 12/14)
Corporate Payment Voucher
Processing Center
Georgia Department of Revenue
P O Box 740317
Atlanta, GA 30374-0317
Paper Return
Electronically Filed
Vendor Code
Income Tax Year
Fiscal Begin Date
FEI Number
Fiscal End Date
040
Name (Type or print plainly the exact Corporation Name)
E-mail Address
Business Address
City
State
Zip Code
Title
Telephone
Signature
Date
$
Amount Paid
PLEASE DO NOT STAPLE. REMOVE ALL CHECK STUBS.
03000022000000000000004000000000000
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