Form 64 - Bank Franchise Tax - 2003

VIRGINIA DEPARTMENT OF TAXATION

2003

FORM 64

BANK FRANCHISE TAX

NAME OF BANK OR

TRUST COMPANY _____________________________________________

ADDRESS ____________________________________________________________________

(Number and street or post office box)

FEDERAL ID NUMBER

____________________________________________________________

(city, town or post office)

(state)

(ZIP Code)

DATE CHARTERED _____________________________________________

BANK CAPITAL ASSESSABLE AS OF JANUARY 1, 2003

CAPITAL ACCOUNTS

ADDITIONS

DEDUCTIONS

COMPUTATION OF CAPITAL AND APPORTIONMENT

COMPUTATION OF NET CAPITAL AND TAX

COMMISSIONER OF THE REVENUE’S

CERTIFICATE OF ASSESSMENT

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Parent category: Financial