Form Bpc - Biomass Producer And Collector Credit (Page 2 of 2) in pdf

Part B: Calculation of the credit

Please describe the quantity, type, and name of the biofuel producer to which the biomass was transferred only for the

tax year for which this form is being filed. Attach a separate sheet if necessary.

Multiply credit rate by

Quantity of biomass

quantity; this is the amount

Biomass

(in pounds, gallons,

of the credit you have

Name of the

Date

type

wet tons, etc.)

Credit rate*

earned on this transaction

biofuel producer

Important! You are required to keep copies of receipts from a biofuel producer to support your calculations above. Keep

these in your records for five years. You must provide a copy to the department upon request.

*To obtain credit rates, please see Publication 17½ available on our website at

Part C: Distribution of transferred or passed-through credits

If you transferred credits to a third party for consideration, please attach a schedule listing who the credits were trans-

ferred to, the amount of the credit that was transferred to each person (in dollars), and how much consideration you

received for the transferred credits (in dollars).

S corporations and partnerships that pass through credits to partners or owners are required to attach a schedule detail-

ing the amount of credit that each partner or owner received (in dollars).

Note: The Department of Revenue must receive this schedule and form from the S corporation or partnership before the

owners or partners file a return claiming the credit.

Note: Employers transferring credits to employees must include the fair market value of the credit in the employee’s

reportable wages.

I (we) certify under penalty of perjury the above statements are true. Corporate officers, fiduciaries, or other qualified

persons signing on behalf of taxpayer(s): By signing, I also certify that I have the authority to execute this form.

Signed under penalty of perjury:

Taxpayer’s signature

Date

Attach this completed notice to the tax return of the taxpayer or corporation claiming the credit. If filing electronically, fax

this notice to 503-945-8766, labeled “Attn: Suspense,” or mail it to:

COR-TROL

Attn: Suspense

PO Box 14999

Salem OR 97309-0990

Form BPC page 2 of 2

150-101-181 (Rev. 12-08) draft 08-25-08

Form Bpc - Biomass Producer And Collector Credit Page 2