Form 305 - Clean Fuel Vehicle And Advanced Cellulosic Biofuels Job Creation Tax Credit Page 3

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Schedule B
Pass-Through Entity Identification
*VA305B111888*
Form 305
Tax Year _______________
Attach to Form 305, Clean Fuel Vehicle and Advanced Cellulosic Biofuels Job Creation Tax Credit
Page
of
Name of Company
Virginia Account Number
Federal Employer Identification Number
Complete this schedule to identify each owner of the pass-through entity to which a portion of this credit is distributed. Attach
a separate schedule or a list containing the information below if additional space is needed. Distribution is to be based on
each taxpayer’s proportion of ownership or interest in the entity. While the pass-through entity may consist of both corporate
and non-corporate members, the credit may only be claimed against corporation income tax. List all pass-through entity
owners, regardless of credit qualification. For non-qualifying entity owners, enter "Non-qualifying" in Column A, then complete
Columns D and E. Check the box below to indicate the type of entity which earned this credit.
Limited Liability Company
Partnership
S Corporation
Other (Specify)
Column A
Column B
Column C
Column D
Column E
Name of Entity Owners
FEIN
Address
Percentage
Credit
1
%
2
%
3
%
4
%
5
%
6
%
7
%
8
%
9
%
10
%
11
%
12
%
13
%
14
%
15
%
%
Total
Page 3

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