Form Ct-V - Fed/state Payment Voucher - 2010
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1INSTRUCTIONS FOR CT-V
PA CORPORATION TAXES FED/STATE PAYMENT VOUCHER
1. Enter your account information including Account ID, tax period (month/year) ending, EIN, corporation name and
state of incorporation.
2. Enter payments that are due and included for capital stock/foreign franchise (CS/FF), loans and corporate net
income (CNI) taxes. Also enter the total payment on Line 4 (add Lines 1, 2 and 3).
3. Signature, title, date, e-mail address and telephone number must be provided by a representative of the corporation.
4. Make check payable to “PA Department of Revenue” equal to the total payment on Line 4. Mail the check and
payment voucher to:
PA DEPARTMENT OF REVENUE
PO BOX 280427
HARRISBURG PA 17128-0427
✁
DETACH HERE BEFORE MAILING
CT-V (9-10)
DEPT USE ONLY
PA CORPORATION TAXES
F
FED/STATE PAYMENT VOUCHER
BUREAU OF CORPORATION TAXES
ACCOUNT ID
TAX YEAR END DATE
EIN
O O
1. CS/FF TAX PAYMENT
•
CORPORATION NAME
O O
2. LOANS TAX PAYMENT
•
STATE OF INCORPORATION
O O
3. CNI TAX PAYMENT
ADDRESS
•
STREET
O O
4. TOTAL PAYMENT
$
(Add Lines 1, 2 and 3.)
•
CITY
STATE
ZIP
Make checks payable to “PA DEPT OF REVENUE.”
Do not mail this coupon if the above payment is
being transmitted electronically.
PLEASE READ THE INSTRUCTIONS BEFORE COMPLETING THIS COUPON.
E-MAIL
TELEPHONE
SIGNATURE
DATE
TITLE
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Parent category: Financial