Virginia Schedule 500ab - Schedule Of Related Entity Add Backs And Exceptions - 2012 Page 2
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1
22012
*VA0IAB212000*
Virginia
Schedule of Related Entity
Schedule 500AB
Add Backs and Exceptions
Page 2
Name as shown on Virginia return ____________________________________ Federal Employer ID Number _______________________
Exception 2 (One-Third Revenue): For each related entity for which the taxpayer claims an exception, identify the three
unrelated parties paying the highest amount of royalties to the related entity. Enter the amount of royalties that the Taxpayer
paid to the related entity that were made at rates and terms comparable to the agreements made with the unrelated parties.
If the total royalties and other expenses related to intangible property paid to unrelated parties do not equal or exceed one-
third of the gross revenues of the related entity, the payments to that related entity do not qualify for the exception. If more
space is needed, attach a separate sheet.
Royalties Paid By
Total Qualifying
Three Unrelated Parties Paying Royalties
Unrelated Party
Royalties
Name of Related Entity
1
2
Gross Revenues of Related Entity
3
4 All Other Unrelated Parties Paying Royalties
Name of Related Entity
1
2
Gross Revenues of Related Entity
3
4 All Other Unrelated Parties Paying Royalties
Name of Related Entity
1
2
Gross Revenues of Related Entity
3
4 All Other Unrelated Parties Paying Royalties
Name of Related Entity
1
2
Gross Revenues of Related Entity
3
4 All Other Unrelated Parties Paying Royalties
Total Royalties Qualifying for Exception 2 (Also enter the amount in Part I, Line 6 ).
Exception 3 (Conduit): For each related entity for which the taxpayer claims an exception, identify the unrelated party to
whom the related entity paid a royalty for the same intangible property licensed to the Taxpayer, and describe the purpose
of the licensing transactions between the parties in order to demonstrate that the licensing transaction did not have as its
principal purpose the avoidance of tax. Enter the amount of royalties that the related entity paid to the unrelated party. If
more space is needed, attach a separate sheet.
Total Qualifying
Royalties
Name of Related Entity
Name of Unrelated Entity
Purpose of Transaction
Name of Related Entity
Name of Unrelated Entity
Purpose of Transaction
Name of Related Entity
Name of Unrelated Entity
Purpose of Transaction
Name of Related Entity
Name of Unrelated Entity
Purpose of Transaction
Total Royalties Qualifying For Exception 3 (Also enter the amount in Part I, Line 7.)
Attach Schedule 500AB to Your Virginia Corporation Return, Form 500
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