Form Bfc - Virginia Biodiesel And Green Fuel Producers Tax Credit Form And Instructions

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Form
Virginia Biodiesel and Green Fuel Producers
BFC
Tax Credit Form and Instructions
Tax Year Ending (MM/DD/YYYY):
Reason For Submitting Form BFC
Mail Form to:
  Application for Tax Credit 
Virginia Department of Taxation
•  Complete Sections I, II, and IV. 
Tax Credit Unit
•  Attach copy of certificate from Department of  
P.O. Box 715
  Mines, Minerals, and Energy. 
Richmond, VA 23218-0715 
•  If you are a pass-through entity, attach Form PTE.
  Transfer of Credit 
For Assistance:
•  Complete Sections I, III (for each transferee) and IV. 
(804) 786-2992
•  If transferee is a pass-through entity, attach Form PTE. 
Section I − Information 
Name   
 SSN   or      FEIN 
Address  
City 
State 
ZIP Code  
Contact Name 
Phone Number 
E-mail Address           
Type of Fuel - Check both boxes if both types of fuel are produced. 
 Biodiesel 
 Green 
Start Date of Biodiesel/Green Fuel Production (MM/DD/YYYY)   
Section II − Credit Calculation 
Number of Gallons Produced Annually   
A).  
Dollar Amount Per Gallon 
B).  $0.01
Credit Amount.  Multiply Line A by Line B. 
$
Section III − Transfer of Credit 
Date of Credit Transfer (MM/DD/YYYY)   
Sale Price of Credit  $ 
.00
Credit Amount Transferred    
                   
$ 
.00 
Transferee Name                                                    
Transferee  
 SSN      or  
 FEIN   
Transferee Address 
City 
State 
ZIP Code 
Contact Name                                                         
Phone Number           
E-mail Address
Section IV − Signature 
I declare, under the penalties provided by law, the information provided above is complete and accurate. 
Signature 
Title 
Date 
Print Name 
Phone Number 
To avoid delays in the processing of your annual return, Form BFC should be submitted to the Department 
of Taxation within 90 days of the credit origination or credit transfer, but at least 60 days before you file your 
return.
Va. Dept. of Taxation   2601432    Rev. 11/11

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