Form 765-2004 - Virginia Unified Nonresident Income Tax Return Page 2

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Form 765 - Unified Nonresident Return
*VA0765204000*
Part B. Participating Owner Detail
Pass-through entityís Virginia apportionment percentage (from VK-1, line 7, or Form 502, line7) :
.
Col. A
Col. E
Col. F
Col G
Col H
Col. D
Col. C
Col. I
Col B
Virginia
Income
Computed
Ownerís
Apportionable
Virginia
VA Nonrefund-
Social Security
Participation
Income
allocated to
Nonresident
additions
subtractions
able Credits
Number
w
Percentage
Virginia
Name and Address
(from VK-1,
(from VK-1,
Taxable
(from VK-1,
(from VK-1,
(from VK-1,
(from VK-1,
line 6)
line 8)
Amount
lines 10 and 11)
line 9)
line d)
line 4)
(see instructions)
Column
Totals:
765 - 72004

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