Georgia Composite Return Payment Voucher

Composite Return Payment Voucher
TSD_GEORGIA_NONRESIDENT_COMPOSITE_TAX_RETURN_ITCR-2011
DO NOT

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IL!

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State of Georgia Department of Revenue
KEEP THESE INSTRUCTIONS AND WORKSHEET WITH YOUR RECORDS

Instructions
1. Download (free) the latest version of Adobe Reader.
adobe.com/products/acrobat/readstep2.html
2. Complete the worksheet below to automatically create your payment voucher.
3. Click the “Print” button to print a completed CR PV.
4. Cut the payment voucher along the dotted line and mail the voucher and your payment only to
the address on the voucher.
DO NOT fold, staple or paper clip items being mailed.
DO NOT mail in the worksheet, keep this for your records.
Payments can be made electronically on the Georgia Tax Center (GTC) gtc.dor.ga.gov/

CR PV Worksheet

1.
2.
3.
4.
5.
8.

FEI Number:
Name: ..............................
Street Address Line 1:
Street Address Line 2:
City:
Telephone Number: .........................................................

9. Please Check All That May Apply:

Name Change:
10. Tax Period Ending: ...........................................................

6. State:

Address Change:

Select

11. Amount Paid: .....................................................................

Print

7. Zip:

Clear

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Dos and Don’ts Checklist for Composite Return (CR PV) Payment Voucher
Payments can be made electronically on the Georgia Tax Center (GTC) gtc.dor.ga.gov/ .

Do:

Use a payment voucher with a valid scanline.
Complete this voucher if you owe taxes.
Remember payments of $10,000 or more must be made electronically.
Remember 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.
See Form IT-CR for detailed instructions on how to file Composite Return.
Write your Federal Employer Identification Number (FEIN) on your check or money order.
Make your check or money order payable to: Georgia Department of Revenue
Mail your voucher and payment to:
Processing Center
Georgia Department of Revenue
P O Box 740240
Atlanta, Georgia 30374-0240

Do not:

Mail this entire page.

Staple your payment and voucher together.
Print on both sides of the paper.
Handwrite any information.
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.
along dotted
dotted line
line
Cut along
MAIL TO:

CR PV (Rev. 06/24/23)

Processing Center
Georgia Department of Revenue
PO Box 740240
Atlanta, GA 30374-0240

Composite Return Payment

2023
Name Change
FEI Number

Address Change
Tax Period Ending

Vendor Code

040

NAME AND ADDRESS

Under penalty of perjury, I declare that this return has been examined by me and to the best of my
knowledge and belief it is true, correct and complete. 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.

Signature
Telephone

Title
Date

PLEASE DO NOT STAPLE. REMOVE ALL CHECK STUBS.

07100000000002200000004000000000004

Amount Paid

$