Form R-5p - Virginia Nonresident Real Property Owner Shareholder/partner Schedule
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1
2Form R-5P
Commonwealth of Virginia
Department of Taxation
Nonresident Real Property Owner Shareholder/Partner Schedule
Use this form to register partners, shareholders or beneficiaries.
Corporations must record Federal Employer ldentification Number or Virginia account number.
(circle one and enter number)
(circle one and enter number)
1. Social Security Number
1. Social Security Number
2. Federal Employer Identification Number or
2. Federal Employer Identification Number or
3. Virginia Business Account Number
3. Virginia Business Account Number
Name
Name
If Trust, Name and Title of Fiduciary
If Trust, Name and Title of Fiduciary
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
City or Town, State and ZIP Code
City or Town, State and ZIP Code
Partners, shareholders or beneficiaries
Partners, shareholders or beneficiaries
$
$
average gross monthly rental income or
average gross monthly rental income or
gross proceeds from sale
gross proceeds from sale
(circle one and enter number)
(circle one and enter number)
1. Social Security Number
1. Social Security Number
2. Federal Employer Identification Number or
2. Federal Employer Identification Number or
3. Virginia Business Account Number
3. Virginia Business Account Number
Name
Name
If Trust, Name and Title of Fiduciary
If Trust, Name and Title of Fiduciary
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
City or Town, State and ZIP Code
City or Town, State and ZIP Code
Partners, shareholders or beneficiaries
Partners, shareholders or beneficiaries
$
$
average gross monthly rental income or
average gross monthly rental income or
gross proceeds from sale
gross proceeds from sale
(circle one and enter number)
(circle one and enter number)
1. Social Security Number
1. Social Security Number
2. Federal Employer Identification Number or
2. Federal Employer Identification Number or
3. Virginia Business Account Number
3. Virginia Business Account Number
Name
Name
If Trust, Name and Title of Fiduciary
If Trust, Name and Title of Fiduciary
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
Address (of Fiduciary if Trust) Number and Street or Rural Route and Box Number
City or Town, State and ZIP Code
City or Town, State and ZIP Code
Partners, shareholders or beneficiaries
Partners, shareholders or beneficiaries
$
$
average gross monthly rental income or
average gross monthly rental income or
gross proceeds from sale
gross proceeds from sale
PAGE __________ of __________
1501240 Rev. 7/08
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