2022 Virginia                               Pass-Through Entity

Form 502                         Return of Income and Return of                                               *VA0PTE122888*
Virginia Department of Taxation
P.O. Box 1500                    Nonresident Withholding Tax
                                                                                                                                                                              Official Use Only
Richmond, VA 23218-1500
FISCAL or
SHORT Year Filer: Beginning Date  ___________________ 2022;            Ending Date             _________________ , 20_______
Check if Schedules VK-1 were filed by Web Upload 
By checking the box to the right, I (we) authorize the Department to discuss this return with the undersigned tax preparer. 
Check if:     Initial return       Amended return:  Enter Reason Code ____________               Final return      Name change                                                  Address change 
  Change in fiscal year        Unified nonresident return filed    Electing large partnership    Subject to Bank Franchise Tax                                                Certified Company Apportionment
FEIN                                                                                           Date of Formation                                                             Entity Type (see instructions)

Entity Name                                                                                    Date Operations Began in Virginia                                             NAICS Code

Number and Street                                                                              State or Country Where Incorporated  Description of Business Activity
                                                                                               or Organized
City or Town, State, and ZIP Code

Number and Types of Owners (See instructions)
Count all of the owners who were issued a federal Schedule K-1 for the taxable year and enter:
a. The total number of owners (include individuals and any other entity types) ............................                                                               a.
b.  The total number of nonresident owners ........................................................                                                                       b.
c. Total amount withheld for nonresident owners (total of Line e from all Schedules VK-1) ...................                                                             c.                               .00
d. If the entity is exempt from withholding, enter the exemption code ....................................                                                                d.
Distributive or Pro Rata Income and Deductions (See instructions)
1.  Total taxable income amounts ................................................................                                                                         1.                               .00
2.  Total deductions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.                               .00
3.  Tax-exempt interest income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         3.                               .00
Allocation and Apportionment: Check if electing the manufacturer’s alternative method of apportionment
                                                                                                                   
4. Income allocated to Virginia from Schedule 502A, Section C, Line 2 ..................................                                                                  4.                               .00
5. Income allocated outside of Virginia from Schedule 502A, Section C, Line 3(e)  .........................                                                               5.                               .00
6. Apportionable income from Schedule 502A, Section C, Line 4 .......................................                                                                     6.                               .00
7. Virginia apportionment percentage from Schedule 502A, Section B, percent from Line 1 or Line 2(f) or 100%  ...                                                         7.                               %
Virginia Additions – See Schedule 502ADJ for Other Additions
8. Fixed date conformity – depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .              8.                               .00
9. Fixed date conformity – other ................................................................                                                                         9.                               .00
10. Net income tax or other tax used as a deduction in determining taxable income (see instructions) ........... 10.                                                                                       .00
11. Interest on municipal or state obligations other than from Virginia .................................... 11.                                                                                           .00
12. Total additions from enclosed Schedule 502ADJ, Section A , Line 5  .................................. 12.                                                                                              .00
13. Total additions. Add Lines 8 through 12. ........................................................ 13.                                                                                                  .00
Virginia Subtractions   – See Schedule 502ADJ for Other Subtractions
14. Fixed date conformity – depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.                                          .00
15. Fixed date conformity – other ................................................................ 15.                                                                                                     .00
16. Income from obligations of the United States .................................................... 16.                                                                                                  .00
17. Total subtractions from enclosed Schedule 502ADJ, Section B, Line 5 ................................ 17.                                                                                               .00
18. Total subtractions. Add Lines 14 through 17 ..................................................... 18.                                                                                                  .00
Virginia Tax Credits Passed Through to Owners
19. Total nonrefundable credits from enclosed Schedule 502ADJ, Section C, Part II, Line 1 ................... 19.                                                                                          .00
20. Total refundable credits from enclosed Schedule 502ADJ, Section C, Part IV, Line 1 ..................... 20.                                                                                           .00
Va. Dept. of Taxation  2601015-W  Rev. 07/22

2022 Virginia         Name   ____________________________________
Form 502                                                                   *VA0PTE222888*
                      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 6 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 6 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 2023 .......................................                         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 enclosures) 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

Include a copy of your federal return with Form 502. Important: do not include a federal Schedule K-1 for each owner. If you filed 
    a Schedule VK-1 for each owner online using Web Upload, do not include copies of Schedules VK-1 with the Form 502.
                      Do not submit Form 765 with this return – Mail it to the address on Form 765.