Form 502e - Pass Through Entity Filing Extension Request

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2004
502E
Virginia Pass Through Entity Filing Extension Request
Virginia Department of Taxation
P.O. Box 1500
For Taxable Year Ending
(DOC ID 522)
Richmond, VA 23218-1500
Month
Year
(804) 367-8037
0000000000 3800415 000000
>Do Not Submit Any Payment With This Form<
Virginia Account Number
Federal Employer’s ID Number
Name of Entity
Entity Code
An extension of six months, or until 30 days after the extended due
date for the federal return, whichever is later, will be granted provided
Address (Number and Street)
that this form is received by the due date of the pass t hrough entity
return. This form must be filed to receive an extension for filing.
Address (Continued)
City, State and Zip Code
Signature:
Date:
Phone No.:
Va. Dept. Of Taxation 6201041 502E F (REV 9/04)

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