Form Tmr - Designation Of Tax Matters Representative For Agricultural Best Management Practices Credit
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1Form TMR
Designation of Tax Matters Representative
for Agricultural Best
VA Department of Taxation
Fax to: 804-786-2800
Tax Credit Unit
For assistance,
Management Practices Credit
PO Box 715
call 804-786-2992.
Richmond, VA 23218-0715
Taxpayer Information – An authorized representative of the taxpayer must sign and date this form.
Pass-Through Entity Name
FEIN
Credit Amount
Taxable Year(s) for Which
This Designation is Being
Made
Taxpayer Address
Daytime Phone Number
Taxpayer Email
Hereby authorizes the following representative:
Designation of Tax Matters Representative.
A pass-through tax entity, such as a partnership, limited liability company or electing small business corporation (S corporation), may
appoint a tax matters representative, who is a general partner, member-manager or shareholder, and register that representative with
the Tax Commissioner. The Tax Commissioner will deal with the tax matters representative as representative of the taxpayers to whom
Agricultural Best Management Practices Tax Credits have been allocated. In the event a pass-through tax entity allocates Agricultural
Best Management Practices Tax Credits to its partners, members or shareholders and the allocated credits are disallowed, in whole or
in part, such that an assessment of additional tax against a taxpayer will be made, the Tax Commissioner will first make written demand
for payment of any additional tax, together with interest and penalties, from the tax matters representative. In the event payment is not
made, the Tax Commissioner will proceed to collection against the taxpayers.
Name and Address
Phone Number
FAX Number
Email
General Partner
Member Manager
Shareholder
TMR Signature
Print Name
Date
Authorization
This Authorization revokes all previous Authorizations received by the Department of Taxation for a Tax Matters
-
Representative for this credit.
Signature As an authorized representative of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer.
Authorized Signature
Authorized Pass-Through Entity Signature
Title
Date
Print Name
Phone Number
Email Address
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