Form 305 - List Of Qualifying Clean Fuel Vehicle Jobs And Employees - 1999 Page 3
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1
2
31999
SCHEDULE B
PASS-THROUGH ENTITY IDENTIFICATION
Attach to Form 305, Clean Fuel Vehicle Job Creation Tax Credit
(F
305)
ORM
P
____
_____
VA D
T
AGE
OF
EPARTMENT OF
AXATION
N
F
305
AME AS IT APPEARS ON
ORM
V
A
N
F
E
I
N
IRGINIA
CCOUNT
UMBER
EDERAL
MPLOYER
DENTIFICATION
UMBER
Complete this schedule to identify each owner of the pass-through entity to which a portion of this credit is distributed.
Attach a separate schedule or a list containing the information below if additional space is needed. Distribution is to be
based on each taxpayer’ s proportion of ownership or interest in the entity. While the pass-through entity may consist
of both corporate and non-corporate members, the credit may only be claimed against corporation income tax. List
all pass-through entities, regardless of credit qualification. For non-qualifying entities, enter “ Non-qualifying” in
Column A, then complete Columns D and E. Check the box below to indicate the type of entity which earned this
credit.
9 Limited liability company
9 Partnership 9 S corporation 9 Other
___________
(Specify)
Col. A
Col. B
Col. C
Col. D
Col. E
FEIN
Name of entity owners
Virginia Account No.
Address
Percentage
Credit
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
%
11
%
12
%
13
%
14
%
15
%
Total
%
VA Dept of Taxation
2601151
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