Tax Year
VIRGINIA
Application for Research and Development
Form RDC
Expenses Tax Credit
___________
Submit this form and supporting documentation by April 1.
This credit must be approved before being claimed on your return. See the instructions for details.
Name
FEIN
Trading As
Fiscal Year Filer _______________ to _______________
Street Address
Contact Name
City, State, ZIP Code
Office Use Only
Phone Number
FAX Number
Email
NAICS Code
Entity Type: (Check One)
Sole Proprietor
C Corporation
S Corporation
Partnership
LLC
Other
To compute your credit, complete Lines 1-6 below. Enter all Virginia qualified research and development amounts in Column A. If any
portion of Virginia qualified research and development was conducted in conjunction with a Virginia public college or university, enter
those amounts in Column B. Amounts reported on Lines 1-3 of Column A must include any expenses reported on Lines 1-3 of Column B.
A.
B.
All Qualified Research and
College and University
Credit Calculation.
Development
Related Research and
Round to the nearest whole dollar.
(From Sch. A, Column C)
Development
(From Sch. A, Column D)
1. Virginia qualified research and development expenses. Enter amount
paid or incurred during the taxable year (from Schedule A of Form RDC).
.00
.00
$
$
2. Virginia base amount for the taxable year.
.00
$
3. Adjusted expenses amount. Subtract Line 2 from Line 1.
.00
$
4. Total Eligible Research Expenses. Enter in Column A the lesser of
$234,000 or the amount from Line 3, Column A.
Eligible College and University Research Expenses. Enter in Column
.00
.00
B the lesser of $234,000 or the amount from Line 1, Column B.
$
$
5. Credit Computation. Multiply Line 4, Column A by .15 and enter in
Column A. Multiply Line 4, Column B by .2 and enter in Column B.
.00
.00
$
$
6. Credit Requested. Enter the larger of Line 5, Column A or Line 5, Column B.
.00
$
Credit Information
1.
Number of full time employees during the year for which the credit is sought.
2.
Total gross receipts or anticipated gross receipts for the taxable year the credit is sought.
3.
If research was conducted in conjunction with a Virginia public or private college or
university, enter name of college or university. Attach a copy of the agreement.
4.
If you applied for any other credits this year, identify the credit(s) below.
5.
Provide a brief description of the area, discipline or field of Virginia qualified research performed. Attach statement or other
documentation if more space is needed.
6.
Do you conduct research and development in Virginia on human cells or tissue derived from
induced abortions or from stem cells obtained from human embryos?
Yes
No
I (we) the undersigned declare, under the penalties provided by law, that this form (including any accompanying schedules, statements, and attachments)
has been examined by me (us) and is, to the best of my (our) knowledge and belief, a true, correct, and complete application, made in good faith pursuant
to the income tax laws of the Commonwealth of Virginia.
Authorized Signature
Title
Date
Printed Name
Phone Number
Email Address
FAX Number