Virginia Pass-Through Credit Allocation

Pass-Through Credit Allocation
Form PTE - Virginia Pass-Through Credit Allocation
Virginia
Form PTE

Virginia Pass-Through Credit Allocation

*VA0PTC123888*

INSTRUCTIONS: Use this form to allocate a tax credit to the taxpayers listed in Section II. All businesses in
Section II should be registered with the Department before completing Form PTE. If you are not registered,
use iReg online or complete Form R-1. The information in Section II may be submitted as an enclosure provided
that the enclosure lists only the required information. Any pass-through entity listed in Section II must complete a
separate Form PTE. Allocations must be shown in whole dollars and the total allocations listed in Section II must
equal the amount shown in Section I, Line G. To avoid delays at the time of annual return processing, Form PTE
should be filed within 30 days of certification, but at least 90 days prior to the participants (listed in Section II)
filing their income tax returns. Ensure that the information provided on this form is accurate. Documentation will
be required for any changes. All credits must be allocated by percentage of ownership or participation in the passthrough entity except for the Historic Rehabilitation Credit, Qualified Equity and Subordinated Debt Investments
Tax Credit, Research and Development Expenses Tax Credit, Major Research and Development Expenses Tax
Credit, and Virginia Housing Opportunity Tax Credit. Form PTE cannot be used to allocate PTET credits. See the
Form 502PTET Instructions for information on how to allocate PTET credits.

Mail Form To:
Virginia Department of Taxation
Tax Credit Unit
P.O. Box 715
Richmond, VA 23218-0715
–or–
Fax to: (804) 774-3902
For assistance, call
(804) 786-2992.

You must enclose a copy of your certificate. A separate Form PTE must be completed for each certificate.

Section I – Credit Information
A) Pass-Through Entity FEIN

D) Type of Filer
 Fiscal	

B) Pass-Through Entity (Entity Filing Form) Name

E) Disregarded Entity
 Calendar

 Yes 

F) Tax Year

C) If Subsidiary, Enter Parent’s FEIN

G) Amount Granted/Allocated

H) Certificate Number, if Applicable

.00

 No

I) Credit Type - Check One

	(AB)	 Agricultural Best
Management

	(FC)	 Food Crop Donation

	(MR)	 Major Research &
Development

	(RD)	 Research &
Development

	(BR)	 Barge & Rail Usage

	(GJ)	 Green Job Creation

	(MP)	 Motion Picture

	(RB)	 Riparian Forest Buffer

	(CO)	 Community of Opportunity
Program

	(HR)	 Historic Rehabilitation

	(NA)	Neighborhood
Assistance

	(WT) 	 Worker Training

	(IT)	

International Trade
Facility

	(PV)	 Port Volume Increase

	(VH) 	 Virginia Housing
Opportunity

	(ES)	 Education Improvement
Scholarships

	(LV)	

Livable Home

	(ED) 	 Qualified Equity and
Subordinated Debt

	(OT) 	 Other

	(WV)	 Farm Wineries &
Vineyards

	(MB)	 Major Business

	

(CT)	 Conservation Tillage and
Precision Agriculture

___________________

	(RM)	 Recyclable Materials

Section ll – Credit Allocation - ALL BUSINESSES MUST BE REGISTERED
SSN / FEIN

1

Street Address or P.O. Box

SSN / FEIN

2

4

5

Street Address or P.O. Box

Amount

.00

City, State, ZIP Code

Name

Amount

.00

City, State, ZIP Code

Name

Street Address or P.O. Box

SSN / FEIN

.00

Name

Street Address or P.O. Box

SSN / FEIN

Amount

City, State, ZIP Code

Street Address or P.O. Box

SSN / FEIN

3

Name

Amount

.00

City, State, ZIP Code

Name

Amount

.00

City, State, ZIP Code

TOTAL
Must equal the amount shown in Section I, Line G

.00

Section lll – Authorized Signature - Must be signed by an authorized representative of the entity.
Authorized Signature of Representative

Print Name

Title

Telephone Number

Email

Va. Dept. of Taxation  2601430-W  Rev. 09/23

Date

Fax Number