Virginia Form Itf - Application For International Trade Facility Tax Credit

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Application for International

VIRGINIA

Tax Year

Form ITF

Trade Facility Tax Credit

___________

Submit this form by April 1.

This credit must be approved before being claimed on your return.

A separate Form ITF must be completed for each Port Job Tax Credit.

The validation summary from the Virginia Port Authority (VPA) must be completed before filing this application.

Name

FEIN

Trading As

Contact Name

Street Address

Office Use Only

City, State, ZIP Code

Phone Number

FAX Number

Entity Type: (Check One)

Sole Proprietorship

C Corporation

S Corporation

Partnership

LLC

Other

Have you applied for any other credits this year? If yes, indicate which credit(s)

Did the company transport at least 10% more cargo through maritime port facilities in the Commonwealth during the current

taxable year than the preceding taxable year?

Yes. Enter the figures for both years as listed on the attached VPA validation summaries:

_________________ current taxable year

________________ previous taxable year

No. This company does not qualify for the tax credit.

Check the box if taxpayer is claiming a credit for jobs created or capital investments made in a “tobacco-dependent

locality.” Also, enter the locality code from the list to identify the “tobacco-dependent locality.”

Enter Tobacco-Dependent Locality Code _________________________________

Tobacco-Dependent Locality

Code

Tobacco-Dependent Locality

Code

Tobacco-Dependent Locality

Code

Amelia . . . . . . . . . . . . . . . 007

Norton City. . . . . . . . . . . . . 720

City of Martinsville . . . . . . . . . 690

Appomattox . . . . . . . . . . . . 011

Cumberland . . . . . . . . . . . . 049

Nottoway. . . . . . . . . . . . . . 135

Bedford . . . . . . . . . . . . . . 019

Patrick . . . . . . . . . . . . . . . 141

Dickenson . . . . . . . . . . . . . 051

Bland . . . . . . . . . . . . . . . 021

Dinwiddie . . . . . . . . . . . . . 053

Pittsylvania . . . . . . . . . . . . 143

Bristol City . . . . . . . . . . . . 520

Floyd . . . . . . . . . . . . . . . . 063

Prince Edward . . . . . . . . . . . 147

Brunswick . . . . . . . . . . . . . 025

Russell . . . . . . . . . . . . . . . 167

Franklin . . . . . . . . . . . . . . 067

Buchanan . . . . . . . . . . . . . 027

Galax City . . . . . . . . . . . . . 640

Scott . . . . . . . . . . . . . . . . 169

Buckingham . . . . . . . . . . . . 029

Smyth . . . . . . . . . . . . . . . 173

Grayson . . . . . . . . . . . . . . 077

Campbell . . . . . . . . . . . . . 031

Greensville. . . . . . . . . . . . . 081

Sussex . . . . . . . . . . . . . . . 183

Carroll . . . . . . . . . . . . . . . 035

Halifax . . . . . . . . . . . . . . . 083

Tazewell . . . . . . . . . . . . . . 185

Charlotte . . . . . . . . . . . . . 037

Washington . . . . . . . . . . . . 191

Henry . . . . . . . . . . . . . . . 089

City of Bedford . . . . . . . . . . 515

Lee. . . . . . . . . . . . . . . . .105

Wise . . . . . . . . . . . . . . . . 195

City of Danville . . . . . . . . . . 590

Wythe . . . . . . . . . . . . . . . 197

Lunenburg . . . . . . . . . . . . . 111

City of Emporia . . . . . . . . . . 595

Mecklenburg . . . . . . . . . . . . 117

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

Printed Name

Title

Date

Preparer Name

Preparer Email Address

Preparer Phone Number