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2022 Virginia FEIN
Form 500 *VACORP222888*
Page 2
INCOME
1. Federal taxable income (from enclosed federal return) ........................................ 1. .00
2. Total additions from Schedule 500ADJ, Section A, Line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. .00
3. Total (add Lines 1 and 2) ............................................................... 3. .00
4. Total subtractions from Schedule 500ADJ, Section B, Line 10 .................................. 4. .00
5. Balance (subtract Line 4 from Line 3) ..................................................... 5. .00
6. Savings and Loan Association’s Bad Debt Deduction (see instructions) .......................... 6. .00
7. Virginia taxable income (subtract Line 6 from Line 5) ....................................... 7. .00
TAX COMPUTATION
8. Apportionable Income (Schedule 500A Filers) – Complete Lines 8(a) through 8(d). See instructions.
(a) Income subject to Virginia tax from Schedule 500A, Section B, Line 3(j) ...................... 8(a). .00
(b) Apportionment factor percentage from Schedule 500A, Section B, Line 1 or Line 2(f) ............ 8(b). %
(c) Nonapportionable investment function income from Schedule 500A, Section B, Line 3(c) ........ 8(c). .00
(d) Nonapportionable investment function loss from Schedule 500A, Section B, Line 3(e) ........... 8(d). .00
9. Income tax [6% of Line 7 or 6% of Line 8(a)] ............................................... 9. .00
PAYMENTS AND CREDITS
10. Nonrefundable tax credits: Enter the amount from Schedule 500CR, Section 2, Part 1, Line 1B ........ 10. .00
11. Adjusted corporate tax (subtract Line 10 from Line 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. .00
12. 2022 estimated Virginia income tax payments including overpayment credit from 2021 .............. 12. .00
13. Extension payment ................................................................... 13. .00
14. Refundable tax credits from Schedule 500CR, Section 4, Part 1, Line 1A ........................... 14. .00
15. Pass-through entity total withholding from Schedule 500ADJ, Section D .......................... 15. .00
16. Total payments and credits (add Lines 12 through 15) ...................................... 16. .00
REFUND OR TAX DUE
17. Tax owed (if Line 11 is greater than Line 16, subtract Line 16 from Line 11) ....................... 17. .00
18. Penalty (see instructions) .............................................................. 18. .00
19. Interest (see instructions) .............................................................. 19. .00
20. Additional charge from Form 500C, Line 17 (enclose Form 500C) ............................... 20. .00
21. Total due (add Lines 17 through 20). ..................................................... 21. .00
22. Overpayment (if Line 16 is greater than Line 11, subtract Line 11 from Line 16) .................... 22. .00
23. Amount to be credited to 2023 estimated tax ............................................... 23. .00
24. Amount to be refunded (subtract Line 23 from Line 22) ...................................... 24. .00
I, the undersigned president, vice-president, treasurer, assistant treasurer, chief accounting officer, or other officer duly authorized to act on behalf of the corporation for which
this return is made, declare under the penalties provided by law that this return (including any accompanying schedules and statements) 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 income tax laws of the Commonwealth
of Virginia. If prepared by a person other than the taxpayer, this declaration is based on all information of which he or she has any knowledge.
By checking the box to the right, I (we) authorize the Department to discuss this return with the undersigned preparer.
Date Signature of Officer Title
Printed Name of Officer Phone Number
Print Preparer's Name and Firm Name Preparer Phone Number
Date Individual or Firm, Signature of Preparer Address of Preparer
Preparer's FEIN, PTIN, or SSN Approved Vendor Code
IMPORTANT: INCLUDE A COPY OF YOUR FEDERAL RETURN WITH THIS RETURN
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