Form 502 - Virginia Pass-Through Entity Return Of Income And Return Of Nonresident Withholding Tax - 2015 Page 2

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2015

*VA0PTE215888*

Name

Form 502

FEIN

Page 2

Section 1: Withholding Payment Reconciliation

1. Total withholding tax due for nonresident owners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

.00

2. Total withholding tax paid (Entity's own payments only – see instructions.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.

.00

3. Overpayment. If Line 2 is greater than Line 1, subtract Line 1 from Line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

.00

4. Withholding tax due. If Line 2 is less than Line 1, subtract Line 2 from Line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.

.00

Section 2: Penalty and Interest Charges on Withholding Tax

5. Extension penalty (may apply to returns filed within extension period if 90% of Line 1 is not paid timely) . . . . . . . 5.

.00

6. Late payment penalty on tax due (will apply if there is a balance due on Line 4 and Form 502 is being filed

more than six months after the original due date). Enter 30% of the amount on Line 4 . . . . . . . . . . . . . . . . . . . . . . 6.

.00

7. Interest (may apply if there is a balance due on Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.

.00

8. Penalty and interest charges due. Add Line 5 or Line 6 (whichever applies) to Line 7 . . . . . . . . . . . . . . . . . . . . . . . 8.

.00

Section 3: Penalty for Late Filing of Form 502

9. If Form 502 is being filed more than six months after the original due date, or more than 30 days

after the federal extended due date, enter $1,200. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.

.00

Section 4: Withholding Overpayment

10. Net overpayment. If Line 8 or Line 9 exceeds Line 3, go to Line 13 below to compute the total payment due.

Compare Line 6 and Line 9. If Line 6 is greater than Line 9, subtract Line 8 from Line 3. If Line 9 is greater

than Line 6, subtract Line 7 plus Line 9 from Line 3. Otherwise, enter overpayment amount from Line 3. . . . . . . 10.

.00

11. Amount of withholding overpayment to be credited to 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.

.00

12. Amount of withholding overpayment to be refunded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.

.00

Section 5: Tax, Penalty, and Interest Due

13. Balance of tax due plus extension penalty, if applicable. If there is an amount due on Line 4, enter Line 4 plus Line 5.

If there is an overpayment on Line 3 and Line 8 or Line 9 is greater than Line 3, enter Line 5 minus Line 3. . . . . 13.

.00

14. Interest charges on withholding tax from Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.

.00

15. Late filing penalty. Enter the greater of Line 6 or Line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.

.00

16. Total payment due. Add Line 13, Line 14, and Line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16.

.00

Section 6: Amount Due or Refund

17. Motion Picture Production Tax Credit to be refunded directly to PTE (see instructions). . . . . . . . . . . . . . . . . . . . . 17.

.00

18. Research and Development Expenses Tax Credit to be refunded directly to PTE (see instructions.) . . . . . . . . . . 18.

.00

19. Credit to be Refunded Directly to PTE. Add Line 17 and Line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.

.00

20. Amount Due. If there is an amount due on Line 16 and the amount exceeds the amount on Line 19, subtract

Line 19 from Line 16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.

.00

21. Amount of Refund. If there is an amount due on Line 16 and the amount is less than the amount on Line 19,

subtract Line 16 from Line 19. If there is an amount on Line 12, add Line 12 and Line 19. . . . . . . . . . . . . . . . . . . 21.

.00

I, the undersigned owner and authorized representative of the pass-through entity for which this return is made, declare under the penalties

provided by law that this return (including any accompanying schedules, statements, and attachments) has been examined by me and is, to the

best of my knowledge and belief, a true, correct, and complete return, made in good faith, for the taxable year stated, pursuant to the tax laws of the

Commonwealth of Virginia. A preparer other than the authorized representative declares the same, and such declaration is based on all information

of which he or she has any knowledge.

Signature of Owner or Authorized Representative

Title

Date

Printed Name of Owner or Authorized Representative

Phone

Individual or Firm, Signature of Preparer, Phone Number, and Address

Date

Printed Name of Individual or Firm

Preparer's FEIN, PTIN, or SSN

Approved Vendor Code