Form DR-116200 "Florida Tax Credit Scholarship Program Notice of Intent to Transfer a Tax Credit" - Florida

What Is Form DR-116200?

This is a legal form that was released by the Florida Department of Revenue - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Florida Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DR-116200 by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form DR-116200 "Florida Tax Credit Scholarship Program Notice of Intent to Transfer a Tax Credit" - Florida

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DR-116200
R. 01/19
Rule 12-29.003, F.A.C.
Florida Tax Credit Scholarship Program
Effective 01/19
Page 1 of 2
Notice of Intent to Transfer a Tax Credit
To transfer a tax credit available under the Florida Tax Credit Scholarship Program, the transferring business and the receiving business must
both be members of the same affiliated group of corporations.
Part I - Transferring Business Information
Federal Employer Identification Number (FEIN):
Business Name:
Business Address:
City:
State:
ZIP
Telephone Number:
Contact Person Name:
Email Address:
Parent FEIN:
If the transferor is included in a consolidated Florida corporate income tax return, please provide the Parent Corporation Name:
Florida Tax Credit Scholarship Program:
Indicate the type of tax credit allocation or tax
credit to be transferred, information on the
Corporate Income Tax
original amount of the tax credit allocation,
Insurance Premium Tax
any approved carryforward amounts, the
Tax on Oil Production
amount of any previous transfers, and the
amount to be transferred. For transfers of
Tax on Gas Production
sales and use tax or the excise tax on liquor
Sales and Use Tax (enter certificate number):
beverages, wine beverages, or malt
Excise Tax on Liquor Beverages (enter license number):
beverages, indicate the certificate number or
Excise Tax on Wine Beverages (enter license number):
license number for which the tax credit
allocation was authorized.
Excise Tax on Malt Beverages (enter license number):
Transfer of Tax Credit Allocation
Tax Credit Allocation Confirmation Number
Original Amount of Tax Credit Allocation
$
Prior Transfer of This Credit Allocation
Requested Transfer of This Credit Allocation (Must be made in sufficient time
$
for transferee to timely make the contribution to earn the credit and the
Department to approve the transfer of the credit allocation.)
Transfer of Credit or Carryforward Credit
Credit Earned Under This Tax Credit Allocation Confirmation Number
Amount of Credit and Carryforward Credit Claimed / Used
$
Tax Year or Month / Year Claimed / Used
Prior Transfer of This Credit or Carryforward Credit
Requested Transfer of This Credit or Carryforward Credit (Must be
made in sufficient time for the transferee to timely claim the transferred
$
credit or transferred carryover credit and the Department to approve the
transfer of the credit or carryforward credit.)
Part II - Receiving Business Information -
A separate notice is required for each receiving business.
Federal Employer Identification Number (FEIN):
Business Name:
Business Address:
City:
State:
ZIP
Contact Person Name:
Telephone Number:
Email Address:
Parent FEIN:
If the transferee is included in a consolidated Florida corporate income tax return, please provide the Parent Corporation Name:
DR-116200
R. 01/19
Rule 12-29.003, F.A.C.
Florida Tax Credit Scholarship Program
Effective 01/19
Page 1 of 2
Notice of Intent to Transfer a Tax Credit
To transfer a tax credit available under the Florida Tax Credit Scholarship Program, the transferring business and the receiving business must
both be members of the same affiliated group of corporations.
Part I - Transferring Business Information
Federal Employer Identification Number (FEIN):
Business Name:
Business Address:
City:
State:
ZIP
Telephone Number:
Contact Person Name:
Email Address:
Parent FEIN:
If the transferor is included in a consolidated Florida corporate income tax return, please provide the Parent Corporation Name:
Florida Tax Credit Scholarship Program:
Indicate the type of tax credit allocation or tax
credit to be transferred, information on the
Corporate Income Tax
original amount of the tax credit allocation,
Insurance Premium Tax
any approved carryforward amounts, the
Tax on Oil Production
amount of any previous transfers, and the
amount to be transferred. For transfers of
Tax on Gas Production
sales and use tax or the excise tax on liquor
Sales and Use Tax (enter certificate number):
beverages, wine beverages, or malt
Excise Tax on Liquor Beverages (enter license number):
beverages, indicate the certificate number or
Excise Tax on Wine Beverages (enter license number):
license number for which the tax credit
allocation was authorized.
Excise Tax on Malt Beverages (enter license number):
Transfer of Tax Credit Allocation
Tax Credit Allocation Confirmation Number
Original Amount of Tax Credit Allocation
$
Prior Transfer of This Credit Allocation
Requested Transfer of This Credit Allocation (Must be made in sufficient time
$
for transferee to timely make the contribution to earn the credit and the
Department to approve the transfer of the credit allocation.)
Transfer of Credit or Carryforward Credit
Credit Earned Under This Tax Credit Allocation Confirmation Number
Amount of Credit and Carryforward Credit Claimed / Used
$
Tax Year or Month / Year Claimed / Used
Prior Transfer of This Credit or Carryforward Credit
Requested Transfer of This Credit or Carryforward Credit (Must be
made in sufficient time for the transferee to timely claim the transferred
$
credit or transferred carryover credit and the Department to approve the
transfer of the credit or carryforward credit.)
Part II - Receiving Business Information -
A separate notice is required for each receiving business.
Federal Employer Identification Number (FEIN):
Business Name:
Business Address:
City:
State:
ZIP
Contact Person Name:
Telephone Number:
Email Address:
Parent FEIN:
If the transferee is included in a consolidated Florida corporate income tax return, please provide the Parent Corporation Name:
DR-116200
R. 01/19
Page 2 of 2
For transfers of sales and use tax or the
Sales and Use Tax (enter certificate number):
excise tax on liquor beverages, wine
Excise Tax on Liquor Beverages (enter license number):
beverages, or malt beverages, indicate the
Excise Tax on Wine Beverages (enter license number):
certificate number or license number of the
business receiving the transfer.
Excise Tax on Malt Beverages (enter license number):
Part III - Transferring Business Certification -
Only an authorized officer of the transferring business may sign this notice.
I understand that section (s.) 1002.395(5)(f), Florida Statutes (F.S.), requires the Florida Department of Revenue to provide a copy of any
approval or denial it issues with respect to this application for transfer to the nonprofit scholarship-funding organization indicated on the
associated application for an allocation of credit.
Under penalties of perjury, I certify that the Transferring Business and the Receiving Business are both members of the same affiliated group
of corporations. I understand that the Florida Department of Revenue will provide information regarding the transfer of a tax credit allocation
or a tax credit authorized under the Florida Tax Credit Scholarship Program to the Receiving Business. I declare that I have read the
foregoing Notice and the facts stated in it are true.
Signature of Authorized Officer of Transferring Business
Title
Printed Name of Authorized Officer
Date
Instructions for Florida Tax Credit Scholarship Program
Notice of Intent to Transfer a Tax Credit
To transfer a tax credit or a tax credit allocation under the Florida
• Tax credit allocations for which contributions have been
Tax Credit Scholarship Program both parties to the transfer must be
made to an eligible nonprofit scholarship-funding
members of the same affiliated group of corporations.
organization, but the tax credit has not been claimed on
a tax return.
The transferring member must notify the Department of any tax
• Carryforward tax credit amounts that have not been
credit transfer prior to the receiving member reporting the tax credit
claimed on a tax return.
on a tax return. A separate notice must be submitted for each
member of an affiliated group of corporations receiving a transfer.
A transferred tax credit may only be used against the same tax as
The completed notice must be signed by an officer authorized to
the original tax credit approved by the Department. For example,
sign on behalf of the transferring business. Mail the completed and
if the transferring member received a sales and use tax credit
signed notice to:
allocation, the receiving member may only use the transferred tax
credit as a sales and use tax credit.
Florida Department of Revenue
Revenue Accounting
Members receiving a tax credit allocation must make a
PO Box 6609
contribution to an eligible nonprofit scholarship-funding
Tallahassee FL 32314-6609
organization during the same period that the transferring member
was required to make the contribution. The contribution must be
The Department of Revenue will send written approval regarding the
made before the member may claim the tax credit.
amount of the tax credit transferred after receipt of a completed
notice. You must have a letter from the Department approving the
A transferred tax credit may only be taken by the receiving
credit transfer prior to claiming the tax credit on a tax return.
member of the affiliated group during the same period that the
transferring member was approved to take the tax credit.
The following tax allocations or tax credits may be transferred from
one member of an affiliated group to another member of the same
A transferred carryforward amount may only be taken as a tax
affiliated group:
credit during the same time period as the transferring member
was authorized to take the carryforward tax credit amount.
• Tax credit allocations prior to making a contribution to an
eligible nonprofit scholarship-funding organization.
References: Section 1002.395(5)(d), Florida Statutes; Rule Chapter 12-29, Florida Administrative Code
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