Schedule Aftc-1 - West Virginia Schedule Aftc-1 Alternative-Fuel Tax Credit

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AFTC-1
West Virginia
West Virginia Schedule AFTC-1
State Tax
Alternative-Fuel Tax Credit
REV. 1-14
Department
Taxpayer
ID
Name
Number
Tax period
BEginning
EnDing
MM
DD
YYYY
MM
DD
YYYY
► Taxpayers desiring to claim the Alternative-Fuel Motor Vehicle Tax Credit must complete Parts A and B of this Schedule.
► Taxpayers desiring to claim the Qualified Alternative-Fuel Vehicle Home Refueling Infrastructure Tax Credit must complete Parts A and C of the Schedule.
► Taxpayers desiring to claim the Qualified Alternative-Fuel Vehicle Refueling Infrastructure Tax Credit must complete Parts A and D of this Schedule.
► An owner Taxpayer desiring to claim Alternative-Fuel Tax Credit allocated by a Pass-Through Entity subsidiary must complete Parts A and E of this Schedule.
Under penalties of perjury, I declare that I have examined this credit claim form (including accompanying schedules and
statements) and to the best of my knowledge it is true and complete.
Signature of Taxpayer
Name of Taxpayer (type or print)
Title
Date
Person to contact concerning this return
Telephone Number
Signature of Preparer other than Taxpayer
Address
Date
part a Alternative-Fuel Tax Credit Summary
1. Current year Alternative-Fuel Motor Vehicle Credit from Part B, line 9 (Total if more than one qualifying vehicle). Amounts not
supported by Part B will be denied....................................................................................................................................................
1
$
2. Current year Qualified Alternative-Fuel Vehicle Home Refueling Infrastructure Tax Credit from Part C, line 7. Amounts not
supported by Part C will be denied...................................................................................................................................................
2
$
3. Current year Qualified Alternative-Fuel Vehicle Refueling Infrastructure Tax Credit from Part D, line 6 (Total if more than one
qualifying refueling infrastructure). Amounts not supported by Part D will be denied........................................................................
3
$
4. Alternative-Fuel Motor Vehicle Tax Credit and Qualified Alternative-Fuel Vehicle Refueling Infrastructure Tax Credit Allocated to the
Owner of a Pass-Through Entity that earned the credit as reported on Part E. Amounts not supported by Part E will be denied.........
4
$
2011
$
5. Unused, unallocated Alternative Fuel Tax Credit from prior years:
2012
$
An amended tax return (2011 and/or 2012 IT-140, CNF-120, SPF-100
2013
or IT-140NRC) is required to claim previously unclaimed Alternative
$
Fuel Tax Credits (AFTC). If the unclaimed AFTC is associated
2014
$
with previously unfiled 2011 and/or 2012 tax returns, an original
return is required for the tax years claimed. Any and all supporting
2015
$
documentation must be present or the claim for credit will be denied.
2016
$
2017
$
Total
5
$
6. Total Alternative-Fuel Tax Credit Available (add lines 1 through 5)....................................................................................................
6
$
Continued on the next page…
Schedule AFTC-1 Page 1 of 4
Rev. 1-14

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