Form IT-560 Form IT-560 Individual / Fiduciary Extension Payment (Fill in on-line, print and mail) (rev. 7/13)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(Check Amount Paid) (Clear All Fields) Clear (Enter 2 Character State Abbreviation) (Enter Business Name) (Enter City Name) (Enter SSN Number or FEIN) (Enter SSN Number) (Enter Street Address) (Enter Street Address) (Enter Telephone Number (555 555 5555)) (Enter ZIP Code) (Enter Zip+4 Code) (Name or Name of Fiduciary and Address) (Print Voucher) Print (Select Tax Type) Select (Select Tax Year) Select (Sticky Note comment GADOR (text) (text) (text) (text) (text) (text) 1 Download (free) the latest version of Adobe Reader 1/14/2011 1:26:46 PM 2 Complete the worksheet below to automatically create your payment voucher 3 Click the Print button to print a completed IT560 Individual/Fiduciary payment voucher 4 Sign and date the payment voucher 4/22/2011 10:39:36 AM 5 Cut the payment voucher along the dotted line and mail the voucher and your payment only to Amount Paid: AND NOT THE PRINT OPTION FROM THE WEB BROWSER MENU approved software company listed at https://etax dor ga gov/IndTax TSD aspx ATLANTA GA 30348 5198 Amount Paid $ Atlanta Georgia 30348 5198 CHOOSING TO PRINT THIS COUPON FROM THE WEB BROWSER MENU WILL RESULT IN AN INCOMPLETE DOCUMENT WITH AN INVALID SCANLINE AND WILL DELAY PROCESSING City : 9 Complete the name and address field located on the upper right side of coupon Cut along dotted line date of the Federal return However the tax must be paid by the statutory due date The extension is for DO NOT fold staple or paper clip items being mailed DO NOT mail in the worksheet keep this for your records DO NOT use for Quarterly Estimate or Corporate Tax Payments filing the return only and does not extend the time for paying the tax For faster and more accurate posting to your account use a payment voucher with a valid scanline from Georgia Department of Revenue s website https://etax dor ga gov/forms aspx or one produced by an Georgia Department of Revenue Georgia Public Revenue Code Section 48 2 31 stipulates that taxes shall be paid in lawful money of the http://www adobe com/products/acrobat/readstep2 html IMPORTANT DO NOT USE this form for Corporate Income / Net Worth Tax Payments Individual and Fiduciary Payment Voucher Instructions INSTRUCTIONS FOR FORM IT 560 INDIVIDUAL AND FIDUCIARY IT 560 (Rev 7/13) IT560 Individual/Fiduciary Worksheet KEEP THESE INSTRUCTIONS AND WORKSHEET WITH YOUR RECORDS Mail this completed form with your payment to: Name or Name of Fiduciary Name or Name of Fiduciary and Address: NOTE: THIS IS NOT AN EXTENSION REQUEST FORM P O Box 105198 paid line Phone Number : PLEASE DO NOT mail this entire page Please cut along dotted line and mail only your voucher and payment PLEASE DO NOT STAPLE PLEASE REMOVE ALL ATTACHED CHECK STUBS PLEASE DO NOT STAPLE REMOVE ALL CHECK STUBS Please Select Tax Type of Return: PO BOX 105198 Processing Center reflected by the completed return of the named taxpayer should enter the amount on Line 21 Page 3 Form 501 filers should enter the amount on the estimate tax Signature Title Spouse s SSN : State : 10 State of Georgia Department of Revenue Street Address Line 1 : Street Address Line 2 : Tax Year : 4 Taxpayer s SSN or FEIN : 2 Taxpayer s SSN or Fiduciary FEIN Spouse s SSN Tax Year of Return Vendor Code Telephone Date that extension No penalty for late filing will be assessed if the Georgia return is filed by the extended due the address on the voucher The amount paid is to be credited as a payment on the liability that may be due as The amount paid with this form should be claimed on the completed return as estimated tax Form 500 filers This form is to be used to submit any payment of tax when an extension has been requested or is enforced TYPE OF RETURN: United States free of any expense to the State of Georgia UPON COMPLETION OF THIS COUPON PLEASE CLICK THE PRINT BUTTON BELOW TO PRINT A COMPLETED IT 560 UPON COMPLETION OF THIS COUPON PLEASE CLICK THE PRINT BUTTON BELOW TO PRINT A COMPLETED IT 560 AND NOT THE PRINT OPTION FROM THE WEB BROWSER MENU When a taxpayer receives an automatic extension of time in which to file a Federal return Georgia will honor Zip :