23 Va. Admin. Code § 10-112-21 - Declarations of Estimated Tax; Contents of Declaration.
In the declaration required under 23VAC10-112-20, the individual shall state:
1. The amount which he estimates as the amount of individual income tax for which he will be liable for the taxable year;
2. The amount, if any, which he estimates will be withheld from wages for the taxable year as required by § 58.1-460 et seq. of the Code of Virginia;
3. The excess of the amount estimated under subdivision 1 of this section over the amount estimated under subdivision 2 of this section shall be considered the estimated tax for the taxable year to be paid by the individual as hereinafter provided; and
4. Such other information as may be required by the Commissioner. Form 760ES is currently in use for this purpose.