Form 765 - Unified Nonresident Individual Income Tax Return - 2006 Page 3
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32006 Virginia
Unifi ed Nonresident
Schedule L
Income Tax Return
(FORM 765)
List of Participants
FEIN
Name of Pass-Through Entity
Identify the Participants
SSN
Name / Address
Allocation %
Guaranteed Payment
Amount
i i
_______________________
.
____________
___________________
1.
_______________________
_______________________
i i
_______________________
.
____________
___________________
2.
_______________________
_______________________
i i
_______________________
.
____________
___________________
3.
_______________________
_______________________
i i
_______________________
____________
.
___________________
4.
_______________________
_______________________
i i
_______________________
____________
.
___________________
5.
_______________________
_______________________
i i
_______________________
.
____________
___________________
6.
_______________________
_______________________
i i
_______________________
.
____________
___________________
7.
_______________________
_______________________
i i
_______________________
____________
.
___________________
8.
_______________________
_______________________
i i
_______________________
____________
.
___________________
9.
_______________________
_______________________
i i
_______________________
____________
.
___________________
10.
_______________________
_______________________
Va. Dept. Of Taxation 6201039 Sch L (Rev 10/06)
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