Form PV-CORP Fillable Form PV-CORP Corporate Payment Voucher (rev. 7/13)
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(checkbox) Unchecked (checkbox) Unchecked (Clear All Fields) Clear (Enter 2 Character State Abbreviation) (Enter Amount Paid) (Enter Business Name) (Enter City Name) (Enter Email Address) (Enter FEI Number) (Enter First Name) (Enter Fiscal Year Beginning MMDDYY) (Enter Fiscal Year Ending MMDDYY) (Enter Income Tax Year) (Enter Street Address) (Enter ZIP Code) (Print Voucher) Print (Sticky Note comment GADOR (text) (text) (text) (text) (text) (text) (text) 03000022000000000000004000000000000 1 Download (free) the latest version of Adobe Reader 1/14/2011 1:23:42 PM 1/14/2011 1:24:00 PM 2 Complete the worksheet below to automatically create your payment voucher 3 Click the Print button to print a completed PV CORP payment voucher 4 Sign and date the payment voucher 5 Cut the payment voucher along the dotted line and mail the voucher and your payment only to Amount Paid : appears on the return Atlanta GA 30374 0317 Business Address C i t y State Zip Code 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 : Corporate Payment Voucher Current Name : Cut along dotted line DO NOT fold staple or paper clip items being mailed DO NOT mail in the worksheet keep this for your records Do not mail your paper return with your voucher and payment if you are filing electronically Do not use staples to attach your check Remove your check stub and keep with E mail Address Electronically Filed : Email Address : FEI Number : FEI Number Fiscal Begin Date Fiscal End Date Fiscal Year Beginning : Fiscal Year Ending : For faster and more accurate posting to your account use a payment voucher with a valid scanline from Georgia Department of Revenue Georgia Department of Revenue s website https://etax dor ga gov/forms aspx or one produced by an approved http://www adobe com/products/acrobat/readstep2 html If you are filing a paper return mail your return PV Corp and your payment to the address that Income Tax Year Income Tax Year : Instructions Instructions for the Payment Voucher (PV CORP) KEEP THESE INSTRUCTIONS AND WORKSHEET WITH YOUR RECORDS Mail only your voucher and payment to the address below MAIL TO: Name (Type or print plainly the exact Corporation Name) Only complete this voucher if you owe taxes P O Box 740317 Paper Return Electronically Filed 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 PLEASE DO NOT STAPLE REMOVE ALL CHECK STUBS Amount Paid $ Processing Center PV CORP (Rev 7/13) PV CORP AND NOT THE PRINT OPTION FROM THE WEB BROWSER MENU PV CORP Worksheet Select Type Of Return : Paper Return : software company listed at https://etax dor ga gov/inctax/efile/corp efile info aspx State : State of Georgia Department of Revenue Street Address Line 1 : the address on the voucher Title Telephone Signature Date UPON COMPLETION OF THIS COUPON PLEASE CLICK THE PRINT BUTTON BELOW TO PRINT A COMPLETED Vendor Code Write your Federal Employer Identification Number on your check or money order your records Zip :