COMMONWEALTH OF VIRGINIA



COMMONWEALTH OF VIRGINIADEPARTMENT OF THE TREASURYDeposit Certificates Deposit to the Credit of the Treasurer of Virginia, the Sum of $ FORMTEXT ?????Deposit Certificate Number FORMTEXT ? FORMTEXT ? FORMTEXT ? FORMTEXT ? FORMTEXT ? FORMTEXT ? FORMTEXT ? FORMTEXT ?Locality FORMTEXT ?????Bank Code FORMTEXT ?????Date of Deposit FORMTEXT ?????Agency No. 998FIPS No. FORMTEXT ?????DISTRIBUTIONAGENCY UNITFUNDDEPTAccount*Cost CenterITEMTOTAL998000100099800400110 FORMTEXT ?INCOME TAX$ FORMTEXT ?????998000100099800400110 FORMTEXT ?INCOME TAX FORMTEXT ?????998000100099800400111 FORMTEXT ?ESTIMATED INCOME TAX FORMTEXT ?????998000100099800400111 FORMTEXT ?ESTIMATED INCOME TAX FORMTEXT ?????9980001000998004007102INTEREST ON DELINQUENT TAXES FORMTEXT ?????9980001000998004008301PENALTY FORMTEXT ?????9980001000998004004203FEES AND ALLOWANCES OF SHERIFFS FORMTEXT ?????9980001000998004008135BAD CHECK FEE FORMTEXT ?????9980001000998004008000FINES,FORT,COURT FEES COSTS PENALTIES & ESCHEAT FORMTEXT ????? FORMTEXT ?????1610001000TAX4001058CIGARETTE STAMP TAX FORMTEXT ????? FORMTEXT ?????1620009680TAX4001205HISTORIC TRIANGLE TRANSIENT OCCUPANCY TAX FORMTEXT ?????1620012110954004009084REFUND-EXP/MISC DISBURSE PR YR? FORMTEXT ????? FORMTEXT ?????5030009740100154001204TRANSPORTATION DISTRICT TRANSIENT OCCUPANCY TAX - HRRT FORMTEXT ????? 501000984010015400120495005001TRANSPORTATION DISTRICT TRANSIENT OCCUPANCY TAX - WMATA FORMTEXT ?????*LAST DIGIT OF TAXABLE YEAR IS LAST DIGIT OF ACCOUNT CODETOTAL: =SUM(g3:g22) \# "$#,##0.00;($#,##0.00)" $ 0.00 FORMTEXT I hereby certify that the above includes State monies collected through FORMTEXT ?????, 20 FORMTEXT ?? and the deposit is made without deduction.Signature: __________________________________________ TreasurerDate: FORMTEXT ?????, 20 FORMTEXT ?? FORMTEXT ?????( FORMTEXT ???) FORMTEXT ?????Name of Contact PersonPhone Number ................
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