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 525-TV Individual/Fiduciary payment voucher.
4.Cut the payment voucher along the dotted line and mail the voucher and your payment only o 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.
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525-TV Individual/Fiduciary Worksheet |
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1. |
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2. Spouse’s SSN: |
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Tax Year: |
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4. Daytime Phone Number: |
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5.Individual or Fiduciary Name:
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Street Address Line 1: |
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7. |
Street Address Line 2: |
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8. |
City: |
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9. State: |
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10. Zip: |
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11. Check Type of Return: |
Amended Return: |
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Paper: |
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Electronically Filed: |
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12. Please Select Tax Type of Return: |
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13. Amount Paid: |
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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 dor.georgia.gov or one produced by an approved software company listed at dor.georgia.gov/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
PO 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 al ong dotted ine and mail only your voucher and payment.
PLEASE DO NOT STAPLE. PLEASE REMOVE ALL ATTACHED CHECK STUBS.
Cut along dotted line
525-TV (Rev. 04/01/21) |
Individual or Fiduciary Name and Address: |
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Individual and Fiduciary Payment Voucher
Type of Return:
Taxpayer’s SSN or Fiduciary FEIN
Spouse’s SSN (if joint or combined return)
PLEASE DO NOT STAPLE. REMOVE ALL CHECK STUBS.
PROCESSING CENTER GEORGIADEPARTMENT OF REVENUE
PO BOX 740323Amount Paid $ ATLANTAGA30374-0323