Form Wv/hgbitc-1 - Schedule Wv/hgbitc-1 High-Growth Business Investment Tax Credit (Page 2 of 3) in pdf

If any remaining credit is to be allocated to owners, complete the section below (attach additional pages, if necessary)

9. Allocation of Credit to Owners

Owner Name

Owner Account Number

Ownership %

Credit Allocated

Total Allocated Credit (Sum of the amounts in the Credit Allocated column)

B. Application of Credit Allocated to Owners

10. Current Year Credit Received from Owned Businesses (Indicate the Name and Account Number of the Business from

which a High-Growth Business Investment Tax Credit Allocation and the amount of credit assigned. Attach additional

pages, (if necessary).

Business Name

Account Number

Credit Assigned

This Period

Total Assigned Credit (sum of the amounts in the Credit Assigned Column)

11. Available Annual High-Growth Business Investment Tax Credit from prior years

Carried forward from four (4) years prior to the current period ......................................................... $

Carried forward from three (3) years prior to the current period ....................................................... $

Carried forward from two (2) years prior to the current period .......................................................... $

Carried forward from the year prior to current period ........................................................................ $

Total carried forward from prior years (Sum of lines 11a, 11b, 11c and 11d) ................................... $

12. Total Available Annual High-Growth Business Investment Tax Credit (line 10 plus line 11e) ................. $

13. Calculation of Total High-Growth Business Investment Tax Credit That Can Be Used This Period

50,000.

Overall Credit Limit .............................................................................................................................. $

Credit claimed this period by owned businesses ............................................................................. $

Adjusted Credit Limit (subtract the amount on line 13b from the amount on line 13a,

enter zero if the amount on line 13b is greater than the amount on line 13a) ................................. $

Credit That Can be Used This Period (enter the smaller of the amount on line 12 and the

amount on line 13c) ............................................................................................................................ $

14.

Total Corporation Net Income Tax ........................................................................................................ $

High-Growth Business Investment Tax Credit Offset (Enter the smaller of the amount on line

14a and the amount on line 13d) ......................................................................................................... $

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Form Wv/hgbitc-1 - Schedule Wv/hgbitc-1 High-Growth Business Investment Tax Credit Page 2