Form 502 - Virginia Schedule Vk-1 - Owner'S Share Of Income And Virginia Modifications And Credits - 2012 Page 3

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2012 Schedule VK-1 Consolidated
PTE's FEIN
________________
PTE's Name ____________________
Check Box if Owner Amended Return and/or is
FEIN or SSN
Date Acquired
Owner's
Owner's
Owner's
Amount
Owner
Participating in an Individual Unified Nonresident
(No Dashes)
Interest In The
Entity
Part.
Part. %
Withheld by PTE
Entity WH
Return
PTE
Type
Type
(Enter
for Owner
Exemp.
Decimal
Name, Address, City, State, Zip Code
(MM/DD/YYYY)
Code
Point)
Line a.
Line b.
Line c.
Line d.
Line e.
Line f.
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return
Amended Return
Nonresident Return

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