Form 64 - Bank Franchise Tax - 2005

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FORM 64
2005
Virginia Department of Taxation
Bank Franchise Tax
E
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5
§
. 6
R
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§
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( l l
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) .
7
§
. 8
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) .
8
§
. 9
T
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1
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§
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1
2
§
1
. 3
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) l
1
3
§
1
. 4
a T
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1
4
§
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1
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1
5
§
1
. 6
T
t o
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) .
1
6
1
. 7
C
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1
7
1
. 8
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) 7
1
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1
. 9
L
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) .
1
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2
. 0
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3
0
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1
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) .
2
0
2
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L
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a
n
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2
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) .
2
. 2
L
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s
: s
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R
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a
b
t i l i
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1
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1
9
2 -
1
) .
2
2
2
. 3
L
e
s
: s
E
m
p
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s r
f o
D
s i
a
b
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a
s l
C
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( t
D
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t
t o
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f o
L
n i
e
s
1
9
2 -
2
) .
2
3
2
. 4
L
e
s
: s
W
o
k r
r e
R
t e
a r
n i
n i
g
C
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i d
( t
D
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c x
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d
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a
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t
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f o
L
n i
e
s
1
9
2 -
3
) .
2
4
2
. 5
L
e
s
: s
L
o
w
I
c n
o
m
e
H
o
s u
n i
g
C
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i d
( t
D
o
n
t o
e
c x
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e
d
h t
e
a
m
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t n
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L
n i
e
1
8
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s s
h t
e
t
t o
l a
f o
L
n i
e
s
1
9
2 -
4
) .
2
5
2
. 6
S
T
A
T
E
B
A
N
K
F
R
A
N
C
H
S I
E
T
A
X
D
U
E
L (
n i
e
1
8
e l
s s
h t
e
t
t o
l a
f o
L
n i
e
s
1
9
h t
o r
u
g
h
2
5
) .
2
6
COMMISSIONER OF THE REVENUE’S
DECLARATION AND SIGNATURE
CERTIFICATE OF ASSESSMENT
I, the undersigned officer of the bank or trust company for which
I, the undersigned Commissioner of the Revenue for the County
this return is made, declare under the penalties provided by law
that this return has been examined by me and is, to the best of
(City) of
, Virginia, do hereby
my knowledge and belief, a true, correct, and complete return,
certify that I have this day assessed the bank or trust company
made in good faith, for the taxable year stated.
aforesaid with state bank franchise taxes for the tax year 2005,
as shown hereon.
Given under my hand this
day of
, 2005.
(Signature)
(Title of Officer)
(Commissioner of the Revenue)
(Phone Number)
(Date)

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