Va 763 Form PDF Details

Are you considering applying for a personal loan? Filling out the VA 763 form is an important part of securing funding. This form details your income, expenses, and other financial components that will help lenders determine if they should grant you the loan. In this post, we walk through everything related to the VA 763 Form – from who should fill it out to how long it takes. We’ll also answer common questions such as where to find the form and what documents are needed so that you can submit your application with confidence!

QuestionAnswer
Form NameVa 763 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names 2021 Form 763, Virginia Nonresident Income Tax Return. 2021 Virginia Nonresident Income Tax Return

Form Preview Example

 

Page 1

2021 Virginia Nonresident Income Tax Return

*VA0763121888*

 

 

 

 

 

 

 

 

763

 

Due May 1, 2022

 

 

 

 

 

 

 

 

 

 

 

Enclose a complete copy of your federal tax return and all other required Virginia enclosures.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

MI

Last Name

 

Suffix

Your Social Security Number

 

 

Check if

 

 

 

 

 

 

 

 

 

 

 

 

 

 

deceased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse's First Name (Filing Status 2 Only)

 

MI

Last Name

 

Suffix

Spouse's Social Security Number

 

 

Check if

 

 

 

 

 

 

 

 

 

 

 

 

 

 

deceased

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Present Home Address (Number and Street or Rural Route)

 

 

 

 

 

 

 

 

 

 

 

 

Your Birth Date

 

-

-

 

 

 

 

 

 

 

 

 

 

(mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, Town or Post Office

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

Spouse’s Birth Date

 

-

-

 

 

 

 

 

 

 

 

 

 

(mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State of Residence

Important - Name of Virginia City or County in which principal place of business, employment, or income source is located.

City OR County

Locality Code

Amended Return

 

 

Name(s) or Address Different

Overseas on Due Date

 

 

Reason Code

 

 

than Shown on 2020 VA

 

Check Applicable

 

 

Return

 

 

 

Boxes

Qualifying Farmer, Fisherman, or

EIC Claimed on federal return

Dependent on Another’s Return

Merchant Seaman

$___________________ .00

 

Filing Status Enter Filing Status Code in box below.

{

1

= Single. Federal head of household? YES

2

= Married, Filing Joint Return - both must have Virginia income

 

 

3

= Married, Spouse Has No Income From Any Source

 

4

= Married, Filing Separate Returns

If Filing Status 3 or 4, enter spouse's SSN in the Spouse's Social Security Number box at top of form and enter Spouse’s Name___________________________________

Exemptions Add Sections 1 and 2. Enter the sum on Line 12.

 

 

 

 

 

Spouse if

 

 

 

 

 

 

 

 

 

 

You

 

Filing Status Dependents

 

Total Section 1

 

 

 

 

 

2 or 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

+

 

 

 

 

 

+

 

 

=

 

X $930 =

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You 65

Spouse 65

You

 

Spouse

 

 

Total Section 2

or over

 

or over

Blind

 

 

Blind

 

 

 

 

 

 

 

 

 

 

 

+

 

 

 

+

 

+

 

 

 

=

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X $800 =

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Adjusted Gross Income from federal return - Not federal taxable income

1

2

Additions from Schedule 763 ADJ, Line 3

2

3

Add Lines 1 and 2

3

4

Age Deduction (See instructions and the Age Deduction Worksheet)

You

4a

 

Enter Birth Dates above. Enter Your Age Deduction

 

 

 

on Line 4a and Your Spouse's Age Deduction on Line 4b

Spouse

4b

5

Social Security Act and equivalent Tier 1 Railroad Retirement Act benefits reported on your federal return

5

6

State income tax refund or overpayment credit reported as income on your federal return

6

7

Subtractions from Schedule 763 ADJ, Line 7

7

8

Add Lines 4a, 4b, 5, 6, and 7

8

9

Virginia Adjusted Gross Income (VAGI). Subtract Line 8 from Line 3

9

10

Itemized Deductions from Virginia Schedule A, if applicable. See instructions

10

11

If you do not claim itemized deductions on Line 10, enter standard deduction. See instructions

11

12

Exemption amount. Enter the total amount from the Exemption Sections 1 and 2 above

12

13

Deductions from Schedule 763 ADJ, Line 9

13

14

Add Lines 10, 11, 12 and 13

14

15

Virginia Taxable Income computed as a resident. Subtract Line 14 from Line 9

15

16

Percentage from Nonresident Allocation Section on Page 2 (Enter to one decimal place only)

16

17

Nonresident Taxable Income. (Multiply Line 15 by percentage on Line 16)

17

18

Income Tax from Tax Table or Tax Rate Schedule

18

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

%

00

00

Va. Dept. of Taxation

For Local Use

LTD

2601044 Rev. 06/21

 

$_________

2021 FORM 763 Page 2

Your Name

Your SSN

 

 

*VA0763221888*

19a Your Virginia income tax withheld. Enclose Forms W-2, W-2G, 1099, and VK-1. .............................................

19b Spouse's Virginia income tax withheld. Enclose Forms W-2, W-2G, 1099, and VK-1. ......................................

202021 Estimated Tax Payments...........................................................................................................................

212020 overpayment credited to 2021 estimated tax.............................................................................................

22Extension Payment - submitted using Form 760IP.............................................................................................

23Credit for Low-Income Individuals or Virginia Earned Income Credit from Schedule 763 ADJ, Line 17. ...........

24Total credits from Schedule OSC. ......................................................................................................................

25Credits from Schedule CR, Section 5, Line 1A...................................................................................................

26Total payments and credits. Add Lines 19a through 25. .............................................................................

27If Line 18 is larger than Line 26, enter the difference. This is the INCOME TAX YOU OWE. ............................

28If Line 26 is larger than Line 18, enter the difference. This is the OVERPAYMENT AMOUNT. .........................

29Amount of overpayment on Line 28 to be CREDITED TO 2022 ESTIMATED INCOME TAX. ..............................

30Virginia529 and ABLE Contributions from Schedule VAC, Part I, Line 6............................................................

31Other Voluntary Contributions from Schedule VAC, Section II, Line 14 .............................................................

32Addition to Tax, Penalty, and Interest from enclosed Schedule 763 ADJ, Line 21. ..........................................

33Sales and Use Tax is due on Internet, mail order, and out-of-state purchases (Consumer’s Use Tax).

See instructions

Check here if no sales and use tax is due

34Add Lines 29 through 33..................................................................................................................................

35If you owe tax on Line 27, add Lines 27 and 34 - OR - If you have an overpayment on Line 28 and

Line 34 is larger than Line 28, enter the difference. AMOUNT YOU OWE. Enclose payment or pay at

www.tax.virginia.gov. ........Check here if paying by credit or debit card - See instructions. ......................

36 If Line 28 is larger than Line 34, subtract Line 34 from Line 28. This is the amount to be REFUNDED TO YOU.

19a

19b

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

If the Direct Deposit section below is not completed, your refund will be issued by check.

DIRECT BANK DEPOSIT

Your Bank Routing Transit Number

Your Bank Account Number

Checking

Domestic Accounts Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No International Deposits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings

Nonresident Allocation Percentage

 

1.

Wages, salaries, tips, etc

1

2.

Interest income

2

3.

Dividends

3

4.

Alimony received

4

5.

Business income or loss

5

6.

Capital gain or loss/capital gain distributions

6

7.

Other gains or losses

7

8.

Taxable pensions, annuities and IRA distributions

8

9.

Rents, royalties, partnerships, estates, trusts, S corporations, etc

9

10.

Farm income or loss

10

11.

Other income

11

12.

Interest on obligations of other states from Schedule 763 ADJ, Line 1

12

13.

Lump-sum and accumulation distributions included on Sch. 763 ADJ, Line 3. .

13

14.

TOTAL - Add Lines 1 through 13 and enter each column total here

14

15.Nonresident allocation percentage - Divide Line 14 B, by Line 14 A. Compute

percentage to one decimal place (e.g., 5.4%). Enter on Page 1, Line 16

15

A - All Sources

B - Virginia Sources

 

 

 

 

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00

 

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00

 

00

 

 

 

 

 

 

%

 

 

 

 

I (We) authorize the Dept. of Taxation to discuss this return with my (our) preparer.

I agree to obtain my Form 1099-G at www.tax.virginia.gov.

I (We), the undersigned, declare under penalty provided by law that I (we) have examined this return and to the best of my (our) knowledge, it is a true, correct, and complete return.

Your Signature

 

Your Phone Number

Date

 

 

 

 

 

 

 

Spouse’s Signature (If a joint return, both must sign)

 

Spouse’s Phone Number

Preparer’s PTIN

Vendor Code

 

 

 

 

 

Preparer’s Name

 

Firm’s Name (or Yours if Self-Employed)

Preparer’s Phone Number

Filing Election Code

ID Theft PIN