Virginia Schedule L (Form 765) - Unified Nonresident Income Tax Return (Composite Return) - List Of Participants

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Tax Year
Unified Nonresident Income Tax Return
*VA765L114888*
Virginia Schedule L
(Composite Return)
FORM 765
List of Participants
Name of Pass-Through Entity
FEIN
Identify the Participants
SSN
Name / Address
Allocation %
Guaranteed Payment
Amount
i i
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1.
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i i
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2.
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i i
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3.
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i i
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4.
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i i
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5.
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i i
_______________________
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6.
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i i
_______________________
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7.
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i i
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8.
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i i
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9.
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i i
_______________________
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10. _____________________
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_______________________
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 official version of this form. Minimum font size is 10 point.

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