Form 800V 2018 Insurance Premiums License Tax Payment Voucher - Virginia

Form 800V or the "Insurance Premiums License Tax Payment Voucher" is a form issued by the Virginia Department of Taxation.

Download a PDF version of the Form 800V down below or find it on the Virginia Department of Taxation Forms website.

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Please cut
along dashed
line below.
Do not
submit
this entire page.
PAYMENT OF TAX
Unless payment is made electronically using eForms, a check or money order covering the unpaid
balance of the tax must be enclosed with the return along with Form 800V. Checks or money orders
should be made payable to the Virginia Department of Taxation. Payments returned by the bank will be
subject to a returned payment fee of $35 in addition to any other penalties that may be incurred.
The Department’s website, www.tax.virginia.gov, has information to help you file and pay electronically.
eForms: File and pay your tax online for free. Simply complete the online version of the paper voucher
by entering the tax information as you would if you were completing a paper form.
Business iFile: Register for Business iFile to make an online payment using Web Payments.
EFT Credit: Electronically send your tax payment. See our Electronic Payment Guide, available on
www.tax.virginia.gov, for details.
Form 800V
VIRGINIA INSURANCE PREMIUMS LICENSE TAX PAYMENT VOUCHER
VIRGINIA DEPARTMENT OF TAXATION
(DOC ID 832)
P.O. BOX 26179, RICHMOND, VA 23260-6179
FOR INFORMATION, CALL (804) 404-4163
You must file this voucher with your Form 800,
unless paying electronically.
0000000000000000 8328888 000000
2018
Taxable Year
FEIN
NAIC/License #
Company Name
Enclose this voucher with Form 800 with a check or
money order made payable to Virginia Department
of Taxation.
Address (Number and Street)
Amount of this payment
City, State, and ZIP Code
0 0
.
$
Va. Dept. of Taxation 6201169 Rev. 05/18
Please cut
along dashed
line below.
Do not
submit
this entire page.
PAYMENT OF TAX
Unless payment is made electronically using eForms, a check or money order covering the unpaid
balance of the tax must be enclosed with the return along with Form 800V. Checks or money orders
should be made payable to the Virginia Department of Taxation. Payments returned by the bank will be
subject to a returned payment fee of $35 in addition to any other penalties that may be incurred.
The Department’s website, www.tax.virginia.gov, has information to help you file and pay electronically.
eForms: File and pay your tax online for free. Simply complete the online version of the paper voucher
by entering the tax information as you would if you were completing a paper form.
Business iFile: Register for Business iFile to make an online payment using Web Payments.
EFT Credit: Electronically send your tax payment. See our Electronic Payment Guide, available on
www.tax.virginia.gov, for details.
Form 800V
VIRGINIA INSURANCE PREMIUMS LICENSE TAX PAYMENT VOUCHER
VIRGINIA DEPARTMENT OF TAXATION
(DOC ID 832)
P.O. BOX 26179, RICHMOND, VA 23260-6179
FOR INFORMATION, CALL (804) 404-4163
You must file this voucher with your Form 800,
unless paying electronically.
0000000000000000 8328888 000000
2018
Taxable Year
FEIN
NAIC/License #
Company Name
Enclose this voucher with Form 800 with a check or
money order made payable to Virginia Department
of Taxation.
Address (Number and Street)
Amount of this payment
City, State, and ZIP Code
0 0
.
$
Va. Dept. of Taxation 6201169 Rev. 05/18

Download Form 800V 2018 Insurance Premiums License Tax Payment Voucher - Virginia

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