West Virginia 
WV-CITV                                                                  Corporation Net Income Tax
REV. 7-20                                                       Electronic Payment Voucher & Instructions

Do I need to use a payment voucher?
1. If you owe tax on your return, send the payment voucher to us with your payment. You must pay the amount you owe
   by the 15th day of the fourth month after your year end to avoid interest and penalties.
2. If your return shows a refund or no tax due, there is no need to use the payment voucher.
3. You may be required to submit this payment electronically. To see if you are required to pay electronically, please visit
   our website at tax.wv.gov.

How do I prepare my payment?
1. Make your check or money order payable to the West Virginia State Tax Department. Do not send cash!
2. If your name and address are not printed on your check or money order, write them on it.
3. Write your FEIN, daytime phone number, and “Form WV-CITV” on your payment.

How do I prepare my payment voucher?
1. Enter your FEIN in the   rstfiblock.
2. Enter the period ending date in the second box.
3. Enter your name(s) and address on the last three lines.
4. Mark the Amended box if payment is associated with an amended tax return to ensure the proper direction and
   processing. Failure to do so could result in the assessment of late payment penalties.

How do I send my payment and the payment voucher?
1. Detach the payment voucher by cutting along the dotted line.
2. DO NOT attach the payment voucher or your payment to your return or to each other.
3. Mail your payment and payment voucher to the following address:

West Virginia State Tax Department
Tax Account Administration Division
PO Box 3852
Charleston, WV 25338-3852

   Rev                  WV–CITV                            STATE OF WEST VIRGINIA
   7-20                 EPV          CORP. NET INCOME TAX ELECTRONIC PAYMENT VOUCHER
                                                                                           AMOUNT OF PAYMENT
                        FEIN
                                                                  Amended
                        Period                                                       $_________________________________________
                        Ending
   Name of Business                                                                  Do not send cash! Make your check or money order 
                                                                                     payable to the West Virginia State Tax Department and 
                                                                                     write your FEIN and “Form WV-CITV” on your check or 
   Mailing Address                                                                   money order. Mail your payment to:
                                                                                     West Virginia State Tax Department
   City                               State                     Zip Code             Tax Account Administration Division
   Please print or type                                                              P.O. Box 3852
                                                                                     Charleston, WV 25338-3852
   NOTE: Electronic  filers      must inform taxpayers that full payment of taxes due 
   must be submitted on or before the 15 thday of the 4  monththafter the close of 
   the taxable year to avoid interest and penalties.
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