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Form 760-PMT   2013 Payment Coupon

(DOC ID 761) Please do not staple

To Be Used For Payments On Previously 

Filed 2013 Individual Income Tax Returns Only

Your Social Security NumberSpouse’s Social Security Number

Mail Payment To: 

VA Department of Taxation 

P.O. Box 1478 

Richmond, VA 23218-1478

 

 

 

 

 

Address

CityStateZIP

Daytime Phone NumberAmount of Payment

Make your check payable to the 

Virginia Department of Taxation

.0 0

Name(s)

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