Instructions for the Individual/Fiduciary (525-TV) Payment Voucher
For faster and more accurate posting to your account, use a payment voucher with a valid scanline
from the Georgia Department of Revenue’s website or one produced by an
approved software company listed at /approved-software-vendors.
Only complete this voucher if you owe taxes.
Complete the name and address field located on the upper right side of the voucher.
Please write your SSN or FEIN on your check or money order.
Remove your check stub to keep with your records.
If the due date falls on a weekend or holiday, the tax shall be due on the next day that is not a
weekend or holiday.
If you are filing electronically, mail only your voucher and payment to:
Processing Center
Georgia Department of Revenue
P O Box 740323
Atlanta, Georgia 30374-0323
If you are filing a paper return; mail your return, 525-TV payment voucher and your payment to
the address that appears on the return.
Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United
States, free of any expense to the State of Georgia.
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.
Cut along dotted line
525-TV
Individual or Fiduciary Name and Address:
(Rev. 07/15/16)
Individual and Fiduciary Payment Voucher
Amended Return
Paper Return
Electronically Filed
Type of Return:
Tax Year
Taxpayer’s SSN or Fiduciary FEIN
Spouse’s SSN
(if joint or combined return)
Daytime Telephone Number
Vendor Code
040
PLEASE DO NOT STAPLE. REMOVE ALL CHECK STUBS.
PROCESSING CENTER
GEORGIA DEPARTMENT OF REVENUE
$
Amount Paid
PO BOX 740323
ATLANTA GA 30374-0323
525000002220000000000000004000000000007