2007 Virginia
Unifi ed Nonresident Income Tax Return
Schedule L
List of Participants
FORM 765
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.
_______________________
_______________________
Substitute versions of this form that are produced using computer software must provide the same information in the same four column format as
shown on the offi cial version of this form. Minimum font size is 10 point.