Clear This Page
If Part A was completed by a pass-through entity, provide the following information:
Name of pass-through entity:
FEIN or BIN of entity:
Part B: Schedule of credit amount
Use the schedule below to calculate how much of the credit you can use in the current tax year.
Note: Use the prior year column to determine your carryforward amount for the current tax year.
Prior year
Current year
(column 1)
(column 2)
a. Enter the BPC credit that you earned or that was passed through to you
from a pass-through entity, such as an S corporation or partnership .................... a
b. Enter the BPC credits transferred to you on a Transfer Notice of
Certain Credits form ............................................................................................. b
c. Enter BPC credits you are carrying forward from a prior year ............................ c
d. Add lines a through c and enter the total ............................................................. d
e. Enter the BPC credit you used on your return ..................................................... e
f. Enter the BPC credits you transferred to a third party for consideration ............. f
g. Enter line d minus line e and line f. This is your carryforward available
for use in future tax years ..................................................................................... g
Part C: Distribution of transferred or passed-through credits
If you transferred credits to more than one taxpayer for consideration, please attach a schedule listing to whom the credits
were transferred, the amount of the credit that was transferred to each person (in dollars), and how much consideration
you received for the transferred credits (in dollars). You will also need to complete a Transfer Notice of Certain Credits form
with each transferee. A copy of that form needs to be attached to the return of the transferee, along with Form BPC.
S corporations and partnerships that pass through credits to partners or owners must keep a schedule detailing the
amount of credit that each partner or owner received (in dollars). You must provide a copy to the department upon
request.
I (we) certify under penalty of perjury the above statements are true. Corporate officers, fiduciaries, or other qualified
persons signing on behalf of taxpayer(s): By signing, I also certify that I have the authority to execute this form.
Signed under penalty of perjury:
Taxpayer’s signature
Date
X
Attach this completed notice to the tax return of the taxpayer or corporation claiming or transferring the credit. If filing
electronically, fax this notice to 503-945-8786, labeled “Attn: Suspense,” or mail it to:
COR-TROL
Attn: Suspense
PO Box 14999
Salem OR 97309-0990
Page 2 of 2
150-101-181 (Rev. 09-10)