Form Wv/fogw-1 - Schedule Fogw-1 Financial Organization Goodwill Credit

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WV/FOGW-1
WEST VIRGINIA STATE TAX DEPARTMENT
Org. 08/2009
SCHEDULE FOGW-1
FINANCIAL ORGANIZATION GOODWILL CREDIT
BUSINESS NAME
IDENTIFICATION NUMBER
TAX PERIOD
TO
MM
DD
YYYY
MM
DD
YYYY
Part A - Credit Qualification and Acquistion Summary
In order to claim a Financial Organization Goodwill Credit, both of the following must be satisfied:
Claimant must be a financial organization with its commercial domicile in West Virginia that acquires a financial
I.
organization that does not have its commercial domicile in West Virginia;
I I.
The goodwill associated with the acquisition is first added to the net equity of the financial organization with its
commercial domicile in West Virginia on or after January 1, 2008;
Acquisition Summary
Date of Acquisition
Name of Acquired Financial Organization
FEIN of Acquired Acquisition
Goodwill Added
to Net Equity
Part B - Credit Calculation
If items I and II of Part A have been satisfied and the Acquisition Summary has been completed, please complete the following:
1.
Amount of goodwill associated with the acquisition first recorded on the balance sheet of the
financial organization with its commercial domicile in West Virginia (Add the values from the
Goodwill Added to Net Equity column of the Acquisition Summary and enter here).
1. $
Credit Limit Factor I. (Multiply the amount on Line 1 by 0.5).
2. $
2.
3.
Credit Limit Factor II (Multiply the amount on Line 2 by the Business Franchise Tax rate)
for taxable years beginning on or after 1/1/2008 use 0.0055;
for taxable years beginning on or after 1/1/2009 use 0.0048;
for taxable years beginning on or after 1/1/2010 use 0.0041;
for taxable years beginning on or after 1/1/2011 use 0.0034;
for taxable years beginning on or after 1/1/2012 use 0.0027;
for taxable years beginning on or after 1/1/2013 use 0.0020;
for taxable years beginning on or after 1/1/2014 use 0.0010;
for taxable years beginning on or after 1/1/2015 use 0.0000.
3.
4.
Business Franchise Tax Liability:
a.
Enter total Business Franchise Tax Liability.
4a. $
b.
Enter Subsidiary Credit Claimed.
4b. $
c.
Adjusted Business Franchise Liability
(Subtract the amount on Lines 4b from the amount on Line 4a).
4c. $
Business Franchise Tax Financial Organization Goodwill Credit Offset
d.
(Enter the lesser of the amount on Line 3 and the amount on Line 4c here,
and on Summary of Corporation Net Income Tax/Business Franchise Tax
Credits (Schedule/Form WV/CNF-120TC) or summary of Business Franchise
Tax Credits (Schedule/Form WV/SPF-100TC)).
4d. $
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
Title
Date

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