Form 304 - Virginia Major Business Facility Jobs Tax Credit
ADVERTISEMENT
1
2
3
4
5
6Form 304
Major Business Facility
*VA0304111888*
Tax Year
Jobs Tax Credit
A separate Form 304 must be completed for each major business facility or qualified job expansion.
Fiscal Year Filers: Begin Date
, and End Date
Name of Company
FEIN or Social Security Number
Street Address
City, State and ZIP Code
Entity Type: (Check One)
C Corporation
S Corporation
Partnership
LLC
Other
1a. Enter the North American Industry Classification System (NAICS) Code for the Company’s Primary Business in Va.:
1b. Enter the Industry Description
Check here if two or more affiliated companies have aggregated the number of jobs created for purposes of qualifying for this credit and
2a.
attach a separate schedule showing the name of the affiliated company, the Virginia Account Number, the Federal Employer Identification
Number, the NAICS code, and the voting percentage (as defined in Va. Code § 58.1-439(R)).
2b. Qualifying Threshold (Check Only One):
Tier 1
100 (50 for expansions beginning on or after 1/1/10)
Tier 2
50 (25 for expansions beginning on or after 1/1/10)
2c. This Major Business Facility is Located in City / County of
, Virginia.
Date Facility Expanded or Established
This is a new facility.
This is an expanded facility.
2d. Date Range from which the Credit is Based
.
Expansion Period (12 months) ________________________ Credit Year ________________________
Filing Sequence
1st Year
2nd Year
3rd Year
4th Year
5th Year
6th Year
2e. Have you ever had an expansion before?
Yes or
No. If yes, what year ____________ and number of qualified employees ____________?
3. Number of Qualifying Employees (See instructions.):
If completing this form for the credit year, (the first taxable year following the taxable year in which the
major business facility was established or expanded), complete Schedules A and B, then enter the total
on Line 3a.
For each of the five taxable years after the credit year, enter on Line 3a the average number of qualifying
employees for the credit year and enter on Line 3b the average number of qualifying employees, based on
your quarterly filings with the Virginia Employment Commission for the current year. See the instructions
for guidance on computing the amount on Line 3b. (If the number of qualifying employees in any of these
five years is less than in the initial credit year, a credit recapture may be required on Line 12. See the
instructions for Line 12 for additional information.)
3a. Number of Qualifying Employees in the Credit Year
3a.
3b. Number of Qualifying Employees in the Current Year
3b.
4. Threshold Amount - Enter amount from 2b.
4.
5. Number of Credit Year Qualifying Employees - Subtract Line 4 from Line 3a.
5.
6. Total Credit Allowed Over Three Taxable Years for This Major Business Facility or Expansion -
6.
Multiply Line 5 by $1,000
7. Current Year Credit - Multiply Line 6 by
/
if your credit year's taxable year begins on or after
1
7.
2
January 1, 2009 but before January 1, 2013 or
/
for all others.
1
3
8. Credit to Be Recaptured This Year, If Applicable (Attach schedule showing computation.)
8.
9. Adjusted Credit - Subtract Line 8 from Line 7.
9.
Declaration
I, the undersigned officer or other person authorized to act on behalf of the business entity, have read and understand the limitations and restrictions
set forth for this application and the associated tax credit.
Authorized Signature
Title
Date
Printed Contact Name
Phone Number
Va. Dept. of Taxation 2601149 304 W
(Rev 05/11)
Page 1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial