Form 304 - Major Business Facility Job Tax Credit Page 4
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6SCHEDULE C
Pass-Through Entity Identification
*VA304C112888*
(Form 304)
Name as it Appears on Form 304
FEIN or Social Security Number
• Tier 1 and Tier 2 pass-through entities must complete this form.
• Complete this section to identify each taxpayer (individual or business) to which a portion of this credit is distributed.
Enter in Columns D and E the percentage and amount of the current year credit from Form 304, Line 7 that is
distributed to each partner, shareholder, or other pass-through entity owner. Attach a separate schedule if additional
space is needed. Indicate below the type of pass-through entity which earned this credit:
Limited Liability Company
Partnership
S Corporation
Other (specify)
Column A
Column B
Column C
Column D
Column E
Name
FEIN or SSN
Address
Percentage
Credit
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
%
Attach to Form 304, Major Business Facility Job Tax Credit
Page 4
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