loss . 00 loss . 00 loss . 00 . 00 . 00 . 00 loss . 00 . 00 . 00 . 00 . 00 . 00 loss . 00 . 00 loss . 00 $_________ LTD DTD DLAR LAR 1. Adjusted Gross Income from federal return - Not federal taxable income........................................1 2. Additions from enclosed Schedule ADJ, Line 3....................................................................................2 3. Add Lines 1 and 2................................................................................................................................3 4. Age Deduction. See Instructions. Be sure to provide date of birth above.

4 5. Social Security and equivalent Tier 1 Railroad Retirement benefits if taxable on federal return...........5 6. State Income Tax refund or overpayment credit (reported as income on federal return).......................6 7. Subtractions from enclosed Schedule ADJ, Line 7...............................................................................7 8. Add Lines 4, 5, 6, and 7.......................................................................................................................8 9. Virginia Adjusted Gross Income (VAGI) - Subtract Line 8 from Line 3. Enter the result on this line. Note: If less than $11,950 for Filing Status 1 or 3; or $23,900 for Filing Status 2, your tax is $0.00.....9 10. Itemized Deductions from Virginia Schedule A. See instructions.........................................................10 11. If you do not claim itemized deductions on Line 10, enter standard deduction. See instructions........11 12. Exemptions. Sum of total from Exemption Section A plus Exemption Section B.................................12 13. Deductions from Schedule ADJ, Line 9...............................................................................................13 14. Add Lines 10, 11, 12, and 13.............................................................................................................14 15. Virginia Taxable Income - Subtract Line 14 from Line 9.................................................................15 + = Spouse . 00 . 00 You - - - Do you need to file? See Line 9 and Instructions - - - 1 Total Section B X $800 = = Spouse Blind + You Blind + Spouse 65 or over + You 65 or over Total Section A X $930 = = Dependents + Spouse if Filing Status 2 + You Exemptions You Spouse Issue Date Customer ID VA Driver’s License Information Federal head of household? Filing Status 1 only YES If Filing Status 3, enter spouse's SSN in the Spouse's Social Security Number box at top of form and enter Spouse’s Name_______________________________ Code Enter in box (1 = Single, 2 = Joint, and 3 = Married Filing Separately) Filing Status Fill in all ovals that apply: Overseas on due date Federal Schedule C filed Earned Income Credit on federal return Amount claimed: Name or Filing Status changed Virginia return not filed last year Dependent on another’s return Qualifying farmer, fisherman or merchant seaman Amended Return - Reason Code I/we authorize the sharing of certain information from Form 760 and Schedule HCI with the Dept. of Medical Assistance Services (DMAS), the Dept. of Social Services (VDSS), and the Virginia Health Benefit Exchange (VHBE) to determine eligibility for medical assistance services and/or health coverage as described in the instructions. Locality Code Deceased Birth Date (mm-dd-yyyy) You Spouse Social Security Number First 4 letters of last name You Spouse Your first name M.I. Last name including suffix Spouse’s first name (joint returns only) M.I. Last name including suffix Number and Street – If this is a change, you must fill in oval City, town, or post office State ZIP Code 2601031 Rev. 04/26 WEB 2025 Virginia Form 760 Resident Income Tax Return File by May 1, 2026 — USE BLACK INK Add Sections A and B. Enter the sum on Line 12.

Preparer’s PTIN Filing Election Phone Number Firm Name Preparer’s Name ID Theft PIN Spouse‘s Phone Your Phone Date Spouse’s Signature Date Your Signature I (We), the undersigned, declare under penalty of law that I (we) have examined this return and to the best of my (our) knowledge, it is a true, correct, and complete return. I agree to obtain my Form 1099-G at www.tax.virginia.gov. I (We) authorize the Dept. of Taxation to discuss this return with my (our) preparer. Checking Savings Bank Account Number Bank Routing Transit Number DIRECT BANK DEPOSIT (refunds only) Domestic Accounts Only. No International Deposits. . 00 Social Security Number . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 . 00 16. Amount of Tax from Tax Table or Tax Rate Schedule (round to whole dollars)....................................16 17. Spouse Tax Adjustment (STA). Filing Status 2 only. Enter Spouse’s VAGI in box here and STA amount on Line 17. 17 18. Net Amount of Tax - Subtract Line 17 from Line 16........................................................................18 19. Virginia income tax withheld for 2025. Enclose copies of Forms W-2, W-2G, 1099, and/or VK-1. 19a. Your Virginia withholding...........................................................................................................19a 19b. Spouse’s Virginia withholding (Filing Status 2 only)..................................................................19b 20. Estimated tax payments for taxable year 2025 (from Form 760ES)....................................................20 21. Amount of 2024 overpayment applied toward 2025 estimated tax......................................................21 22. Extension Payments (from Form 760IP)..............................................................................................22 23. Tax Credit for Low-Income Individuals or Earned Income Credit from Sch. ADJ, Line 17 ......................23 24. Credit for Tax Paid to Another State from Schedule OSC, Line 21. You must enclose Schedule OSC and a copy of all other state returns...............................................24 25. Credits from enclosed Schedule CR, Section 5, Part 1, Line 1A.....................................................25 26. Add Lines 19a through 25.................................................................................................................26 27. If Line 26 is less than Line 18, subtract Line 26 from Line 18. This is the Tax You Owe.....................27 28. If Line 18 is less than Line 26, subtract Line 18 from Line 26. This is Your Tax Overpayment...........28 29. Amount of overpayment you want credited to next year’s estimated tax.............................................29 30. Commonwealth Savers (formerly Virginia529 and ABLE) Contributions from Schedule VAC, Section I, Line 6..................................................................................................30 31. Other Voluntary Contributions from Schedule VAC, Section II, Line 14...............................................31 32. Addition to Tax, Penalty, and Interest from enclosed Schedule ADJ, Line 21. See instructions............................ enclose 760C or 760F and fill in oval..............................................32 33. Sales and Use Tax is due on Internet, mail order, and out-of-state purchases (Consumer’s Use Tax). See instructions............................ fill in oval if no sales and use tax is due........................................33 34. Add Lines 29 through 33...................................................................................................................34 35. If you owe tax on Line 27, add Lines 27 and 34. OR If Line 28 is less than Line 34, subtract Line 28 from Line 34. Enclose payment or pay at www.tax.virginia.gov............ AMOUNT YOU OWE ......35 fill in oval if paying by credit or debit card - see instructions 36. If Line 28 is greater than Line 34, subtract Line 34 from Line 28............... YOUR REFUND...............36 If the Direct Deposit section below is not completed, your refund will be issued by check. loss . 00 Page 2 2025 Form 760 WEB