Form 306t - Allocation Of Coal Employment And Production Incentive Tax Credit Between Interested Parties

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Form 306T
Allocation of Coal Employment and
*VA306T108888*
Production Incentive Tax Credit
Between Interested Parties
Use this form to complete your, Schedule 306C
Attach all Forms 306T to your Form 306
Original Credit Allocation Agreement
Amendment of an existing Credit Allocation Agreement (include copy of original Form 306T that this form amends)
.
Section I - Sale Information
A) Date of Original Sale
B) Invoice Number
C) Number of Tons Sold
D) Total Amount of Credit (not to exceed $3 per ton)
$
.00
Section II - Transferor Information (Electricity Generator)
A) Entity Type - Check One
 Individual Taxpayer
 Multiple Taxpayers
 Non-Profit
 Other Entity - Specify________________
 Corporation
 Pass-Through Entity
 Trust
B) Name
C) Identification Number FEIN
D) Street Address or PO Box Number
City
State
ZIP Code
E) Contact Name, If Different from Above
F) Phone Number
Section III - Transferee Information (Person with Economic Interest in Coal)
A) Entity Type - Check One
 Individual Taxpayer
 Multiple Taxpayers
 Non-Profit
 Other Entity - Specify________________
 Corporation
 Pass-Through Entity
 Trust
B) Name
 SSN
 FEIN
C) Identification Number
D) Street Address or PO Box Number
City
State
ZIP Code
E) Contact Name, If Different From Above
F) Phone Number
G) Name of Mine
H) Location of Mine
Section IV - Allocation of Tax Credits
Total Credit Amount Attributable to the Coal Transaction
$
A)
.00
Credit Retained by Electricity Generator
- $
B)
.00
Credit Amount to Be Allocated to the Person With an Economic Interest in the Coal (Line A minus Line B)
= $
C)
.00
Section V - Declaration and Signatures
Each of the undersigned representatives of the Transferor and Transferee declares, under the penalties provided by law, that (i) this form (including
any accompanying schedules and statements) has been examined by me and is, to the best of my knowledge and belief, true, correct and complete,
made in good faith pursuant to the income tax laws of the Commonwealth of Virginia; and (ii) no coal described above has been or will be used as
the basis for claiming a Coalfield Employment Enhancement Tax Credit or a Virginia Coal Employment and Production Incentive Tax Credit except
as allocated or retained above.
I authorize the Department of Taxation to discuss my allocation form with the contact person listed in Section II or III and any person
listed as my return preparer, if applicable.
Signature of Representative for Transferor
Print Name
Date
Address of Representative for Transferor
Phone Number
Signature of Representative for Transferee
Print Name
Date
Address of Representative for Transferee
Phone Number
Va. Dept. of Taxation 2601431 (Rev. 09/08)

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