Virginia R-5P - Nonresident Real Property Owner Shareholder/Partner Schedule

R-5P - Nonresident Real Property Owner Shareholder/Partner Schedule
R-5P 01 18 12.indd
Form 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 Identification Number or Virginia Account Number.
□ 1. Social Security Number
□ 2. Federal Employer Identification

(check one and enter number)

Number or

□ 1. Social Security Number
□ 2. Federal Employer Identification

(check one and enter number)

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
average gross monthly rental income
or gross proceeds from sale

Partners, shareholders or beneficiaries
average gross monthly rental income
or gross proceeds from sale

$	

□ 1. Social Security Number
□ 2. Federal Employer Identification

.
(check one and enter number)

Number or

$	

□ 1. Social Security Number
□ 2. Federal Employer Identification

.
(check one and enter number)

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
average gross monthly rental income
or gross proceeds from sale

Partners, shareholders or beneficiaries
average gross monthly rental income
or gross proceeds from sale

$	

□ 1. Social Security Number
□ 2. Federal Employer Identification

.
(check one and enter number)

Number or

$	

□ 1. Social Security Number
□ 2. Federal Employer Identification

.
(check one and enter number)

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
average gross monthly rental income
or gross proceeds from sale

Partners, shareholders or beneficiaries
average gross monthly rental income
or gross proceeds from sale

1501240 Rev. 1/12

$	

.

PAGE __________ of __________

$	

.

INSTRUCTIONS
1. Computer forms submitted must be a facsimile of this document (information is to
be in the exact sequence presented on this form).
2. “$” on this form indicate an amount NOT a percentage.
3. Record losses in brackets.
4. Partnerships are to list individual partners.
5. Any form that is not complete or is illegible will be returned.