Form 500t - Virginia Telecommunications Companies Minimum Tax - 2015 Page 2

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*VA500T215888*
2015
Virginia
TeleCommuniCaTions Companies
minimum Tax
Form 500T
page 2
Name as shown on the Virginia return
FEIN
paRT ii minimum Tax CompuTaTion
4. Gross receipts for the taxable period as certified by the State Corporation Commission . . . . . . 4.
.00
5. (A) Minimum tax rate from Minimum Tax Rate Schedule in the instructions . . . . . . . . . . . . . . 5.(A)
%
(B) Minimum tax (Line 5(A) times Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.(B)
.00
If filing a consolidated or combined return, complete the schedule below, providing a
breakdown of the minimum tax for each corporation.
6. Adjusted Corporate Income Tax (from Part I, Line 3 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
.00
7. Telecommunications Tax (Greater of Line 5(B) or Line 6). Enter on Page 1 of Form 500 in
the Telecommunications Company section and on Line 11 of Form 500. See the instructions
concerning the tax amount.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
.00
paRT iii nonCoRpoRaTe TeleCommuniCaTions Companies
8. Minimum tax (Part II, Line 5(B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
.00
9. Adjusted Corporate Income Tax (Part I, Line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
.00
1 0. Amount You Owe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10.
.00
(If Line 8 is greater than Line 9, subtract Line 9 from Line 8).
(If Line 9 is greater than Line 8, enter 0.00). Enter on Page 1 of Form 500 in the Noncorporate
Telecommunications Company section and on Line 11 of Form 500.
sCheDule oF minimum Tax FoR ConsoliDaTeD oR CombineD FileRs
FEIN
Name
Minimum Tax
1.
.00
2.
.00
3.
.00
4.
.00
5.
.00
6.
.00
7.
.00
8.
.00
9.
.00
10.
.00
VA DEPT OF TAXATION 2601012 REV 8/ 15

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