2001 Tax Forms and Instructions Order Form

PACKAGE X ORDER FORM

Package X is a consolidated publication of annual tax forms and instructions for individual, corporation, pass-through entity and fiduciary tax return filing. The price for each Package X is $10.00, which includes sales tax. To order a Package X, complete this form and attach a check or money order payable to the Virginia Department of Taxation.

Name:
Address:
City: / State: / ZIP Code:
Phone Number to contact if we have questions:
Price of each Virginia Package X / $10.00
Tax Year 2016 Package X Order Quantity /
Tax Year ______(prior year) Package X Order Quantity /
Amount Enclosed / $

Make checks payable to VA Department of Taxation and mail this form and check to:

Department of Taxation

P.O. Box 1317

Richmond, VA 23218-1317

For information or assistance, call: (804) 440-2541

Virginia tax forms and instructions are available at www.tax.virginia.gov

Rev. 09/16