Virginia Form Fwv - Application For Farm Wineries And Vineyards Tax Credit
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4VIRGINIA
Application for Farm
Tax Year
Form FWV
Wineries and Vineyards Tax Credit
___________
Submit this form by April 1.
This credit must be approved before being claimed on your return.
See instructions for details.
Name
FEIN/SSN
Trading As/Business Name
Contact Name
Street Address
Office Use Only
City, State, ZIP Code
Phone Number
FAX Number
Email Address
Entity Type: (Check One)
Sole Proprietor
C Corporation
S Corporation
Partnership
LLC
Other
The above named business qualifies as a:
Virginia farm winery - “Virginia farm winery” is defined as an establishment located in the Commonwealth that is licensed
as a Virginia farm winery pursuant to Va. Code § 4.1-207.
Virginia vineyard - “Virginia vineyard” is defined as agricultural lands located in the Commonwealth consisting of at
least one contiguous acre dedicated to the growing of grapes that are used or are intended to be used in the production
of wine by a Virginia farm winery as well as any plants or other improvements thereon.
1. Enter the total amount of qualified capital expenditures. Attach Schedule A
to Form FWV giving the description and amount of each qualified
expenditure, date of purchase and supplier. Round to the nearest
$
.00
whole dollar. Be sure to retain the receipts for your records . . . . . . . . . . . . .
Please note: All expenses must be depreciated or claimed as an IRC § 179 deduction.
2. Total credit requested. Multiply Line 1 by 25% (.25).
$
.00
Round to nearest whole dollar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Declaration
I (we) the undersigned declare, under the penalties provided by law, that this form (including any accompanying schedules, statements
and attachments) has been examined by me (us) and is, to the best of my (our) knowledge and belief, a true, correct and complete application, made in
good faith pursuant to the income tax laws of the Commonwealth of Virginia.
Authorized Signature
Title
Date
Printed Name
Phone Number
Email Address
FAX Number
File Form FWV no later than April 1 for expenditures made during the preceding taxable year.
Rev 08/13
3101030
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