Tax Year
VIRGINIA
Application for Recycling Materials
Form RMC
Processing Equipment Tax Credit
___________
Submit this form by May 1.
This credit must be approved before being claimed on your return.
See the instructions for details.
Name
FEIN
Trading As/Business Name
Contact Name
Street Address
Phone Number
City, State, ZIP Code
FAX Number
North American Industry Classification System (NAICS) Code
Email Address
Entity Type: (Check One)
C Corporation
Partnership
S Corporation
LLC
Other
IMPORTANT: All applicants must apply for certification from the Department of Environmental Quality prior to
March 1. Please see the instructions for more details.
1. Enter amount paid for materials and equipment used predominantly to manufacture,
process, compound, or produce items of tangible personal property from recyclable
materials. ............................................................................................................................. 1. $
.00
2. If you intend to capitalize machinery and equipment Credit that qualifies for the credit,
enter the amount of any capitalized costs incurred in the year of purchase to make such
machinery and equipment operational. ............................................................................... 2. $
.00
3. Total amount paid. Add Lines 1 and 2 and enter here. ....................................................... 3. $
.00
4. Total credit requested. Multiply Line 3 by 20% (0.2). Round to the nearest whole dollar. .. 4. $
.00
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, sentence and complete application, made in good faith pursuant to the income tax laws of the
Commonwealth of Virginia. If a person other than the taxpayer prepares this application, such declaration is based on all
information of which he or she has knowledge.
Authorized Signature
Title
Date
Printed Name
Phone Number
Preparer Name
Preparer Email
Preparer Phone Number
Rev 06/15 2604045