Schedule 500adj - Schedule Of Adjustments - 2013 Page 2

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2013
Virginia
*VA500J213000*
Schedule 500ADJ
Schedule of Adjustments
Page 2
  Name as shown on Virginia return
Federal Employer ID Number
Section D - Schedule of VK-1 Withholding
If you are claiming withholding on Form 500, Line 15 provide the information below.
List Pass-Through Entity Withholding from Virginia Schedules VK-1.
Pass-Through Entity FEIN
Withholding Amount
Recipient FEIN
)
(Consolidated/Combined Filers Only
Total Withholding ►
Attach Schedule 500ADJ to Your Virginia Corporation Return, Form 500.
Va. Dept. of Taxation 2601001 REV 06/13

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