Form LPC-2
Notification of Transfer of Land Preservation Credit
*VALPC2213888*
Allocation Schedule and Calculation of Fee
Schedule A
• For donations made in 2007 and after, you cannot transfer credit(s) until the Department has issued you a credit.
• The Department is unable to guarantee that any LPC-1 application received in December will be processed in time to make
a transfer in that year.
• If the original donation was made on or before December 31, 2006, complete Sections I, II (if applicable) and III.
• If the original donation was made on or after January 1, 2007, complete Sections I , II (if applicable), III, and IV (if applicable).
• Credits will be granted to one taxpayer per line per SSN/FEIN.
• A separate LPC-2 must be completed for each credit holder who transfers credits.
• If a credit is transferred to a pass-through entity, an additional Schedule A must be filed to allocate the credit to its owners.
• Attach additional pages, if needed. However, if the allocation/transfers are to more than 15 persons/entities, we recommend
submitting a CD or disc. Please call 804-786-2992 for disc format.
• Include the Land Preservation transaction number on your check/money order (if applicable).
Section I - Credit Information
Original Credit
Current Credit Balance
$
.00
Transaction
LP
Amount of Credit to Be Distributed
$
.00
Number (Required)
Section II - Pass-Through Entity Information
For a Pass-Through Entity, Name
FEIN
Phone Number
For a pass-through entity, do you have a tax matters representative?
Representative’s Phone Number
No Yes (If Yes, Enter Name)
Section III - Transferee Information
Credit Amt.
Transferee Information
Transferred
Name (Legal Name)
Date of Credit Transfer
SSN/FEIN
Street Address
Entity Type
Fiscal Filer
1
City, State, ZIP
Sale Price of Credit
Phone Number
00
Name (Legal Name)
Date of Credit Transfer
SSN/FEIN
Street Address
Entity Type
Fiscal Filer
2
City, State, ZIP
Sale Price of Credit
Phone Number
00
Name (Legal Name)
Date of Credit Transfer
SSN/FEIN
Street Address
Entity Type
Fiscal Filer
3
City, State, ZIP
Sale Price of Credit
Phone Number
00
Name (Legal Name)
Date of Credit Transfer
SSN/FEIN
Street Address
Entity Type
Fiscal Filer
4
City, State, ZIP
Sale Price of Credit
Phone Number
00
Total Amount of Credit Transferred
00
Section IV - Calculation of Fee (For donations made on or after January 1, 2007.)
Not Applicable for Donations
(
)
1. Maximum fee that can be charged on this donation for this credit holder.
$10,000 00
Recorded On or After July 1, 2010
2. Enter the amount of fee that has been previously paid by this credit holder on this donation.
Not Applicable for Donations
(
)
3. Line 1 minus Line 2. (If the amount is zero or less, stop here. No additional fee is due.)
Recorded On or After July 1, 2010
4. Enter the total amount of credit transferred or allocated, less any gifts.
5. Multiply the total amount of credit transferred by 5% (Line 4 times .05).
6. Fee Due - For donations recorded from January 1, 2007 - June 30, 2010, enter the amount from Line 5 or Line 3, whichever
is less; for donations recorded on or after July 1, 2010, enter the amount for Line 5.
2