Form Qba - Application For Designation As A Qualified Business For The Qualified Equity And Subordinated Debt Investments Tax Credit Page 2

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Instructions for the Qualified Business Designation Application - Form QBA
Qualified Equity and Subordinated Debt Investments Tax Credit
Pursuant to Va. Code § 58.1-339.4, this credit is effective for taxable years beginning on and after January 1, 1999. 23
VAC 10-110-225 et seq. provide regulations on this credit, including definitions of terms used in this application. Virginia
Tax Bulletin 00-5, dated July 31, 2000, also provides additional information on this credit. For a copy of the applicable
regulations, Tax Bulletin, or additional forms, see the section on Where to Get Help.
Beginning January 1, 2010, the total amount of credit granted
Credit must file. The qualification is valid for the calendar
is limited to $5 million. Of the amount of available credit, one-
year of the application. A separate application is required for
half of this amount must be allocated to commercialization
each year the business wants to be eligible to offer this credit
investments and the other half is available for all other qualifying
to its investors.
investments. If credit applications for either half exceed the
All businesses should be registered with the Department
allowed amount, the credits for that half will be prorated. If credit
of Taxation before completing Form QBA. If you are not
applications for either half are less than the allowed amount,
registered, complete Form R-1.
the balance will be available for allocation to the other type of
credits.
When to File This Application, Form QBA
File Form QBA any time during the calendar year.
Where to Get Help
You need to reapply each year that you plan to be designated
Write to Department of Taxation, Tax Credit Unit, P. O. Box
as a qualified business.
715, Richmond, VA 23218-0715 or call 804-786-2992. To
order forms, bulletins or regulations call 804-440-2541. Visit
Where to File This Application, Form QBA
for most Virginia tax forms, regulations
and additional tax information. Forms are available from your
File Form QBA with the Department of Taxation, Tax Credit
local Commissioner of the Revenue, Director of Finance or
Unit, P.O. Box 715, Richmond, VA 23218-0715.
Director of Tax Administration.
You may also fax it to 804-367-3021, but please do not do
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both.
General Information Concerning This Credit
Information to Be Provided To Taxpayers (Investors)
The Qualified Equity and Subordinated Debt Investments Tax
Upon issuance of equity or subordinated debt, the qualified
Credit is allowed to taxpayers making a qualified investment
business must provide each taxpayer with a copy of the
in the form of equity or subordinated debt from a qualifying
qualified business certification from the Department of
business which is engaged in business or does substantially
Taxation and a statement on the business entity’s letterhead
all of its production in Virginia. The credit equals 50% of the
that contains the following information:
amount of qualifying investments made during the taxable
• The investor’s name;
year. The total amount of credit that may be used per taxable
• The investment by amount (list each amount separately);
year is the lesser of the tax imposed or $50,000. The credit
• The investment by type (equity or debt);
is nonrefundable. Excess credits may be carried forward for
• The investment by date (specific to each investment
up to 15 years. If total annual requests for this credit exceed
amount); and
$5 million, the Department of Taxation will prorate the
• Verification that the investment meets the definition of a
allowable credit for each taxpayer.
qualified investment for purposes of claiming the credit
• Equity received in connection with a qualified business
pursuant to Va. Code § 58.1-339.4. Title 23 of Virginia
investment must be held by the taxpayer for at least three
Administrative Code (VAC) 10-110-225 et seq. provides
full calendar years following the calendar year for which a
regulations on how this credit applies.
tax credit is allocated.
Please specifically state that, the investor (name), nor
• Subordinated debt received in connection with a qualified
any of his/her family members nor any entity affiliated
business investment must be held by the taxpayer for at
with him/her, receives or has received compensation
least three years from the date of issuance.
from the qualified business in exchange for services
provided to such business as an employee, officer,
• Holding Period Exception – liquidation of the qualified
director,
manager,
independent
contractor
or
business issuing such equity; the merger, consolidation or
otherwise in connection with or within one year before
other acquisition of such business; with or by a party not
or after the date of such investment. For the purposes
affiliated with such business or the death of the taxpayer.
hereof, reimbursement of reasonable expenses
If the three calendar year holding period is not met, the
incurred shall not be deemed to be compensation.
taxpayer forfeits the unused credit amount and will be
assessed for the credit used, to which shall be added interest,
• The statement should be signed by a company officer.
computed at the rate of one percent per month, compounded
For investors affiliated with the QBA, such as Corporate
monthly from the date the tax credits were claimed.
Officer, CFO, etc., the statement should be signed by
another member of the company.
Who Must File this Application, Form QBA
Please note: For married investors, the credit cannot be
Businesses that want to sell equity and subordinated debt
issued jointly. The investment must be made individually
investments for which taxpayers may claim credit for the
and a separate Form EDC and business statement must be
Qualified Equity and Subordinated Debt Investments Tax
provided for each spouse.

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