SCHEDULE 
                                    WEST VIRGINIA CREDIT FOR                                                                                               West Virginia 
   CIP                                                                                                                                                     Tax Division
   REV01/2023         CAPITAL INVESTMENT IN CHILD-CARE PROPERTY
                                             (FOR PERIODS ON OR AFTER JULY 1, 2022)
                          YOU MUST ATTACH THIS SCHEDULE TO YOUR WEST VIRGINIA INCOME TAX RETURN TO CLAIM THE CREDIT.
                                    SECTION A: BUSINESS IDENTIFICATION 
1  FEIN                                                                    WV TAX ID

                                                                TAX PERIOD
2  BEGINNING                                                               ENDING
                 MM              DD          YYYY                                                MM DD                                                     YYYY
   BUSINESS NAME
3

   TAXPAYER NAME 
4

   ADDRESS OF CHILD CARE FACILITY

5
   CITY                                                                                   STATE        ZIP

                                 SECTION B: CALCULATION OF AVAILABLE CREDIT
     DID YOU DISPOSE OR SELL ANY CAPITAL INVESTMENT PROPERTY ON WHICH YOU HAVE TAKEN THIS CREDIT?                   YES                                        NO
   IF YES, COMPLETE SCHEDULE E.
6  TOTAL WEST VIRGINIA INCOME TAX (BEFORE APPLICATION OF ANY TAX CREDITS)

7  AMOUNT OF PRIOR YEAR ALLOCATED AND CARRY FORWARD CREDITS CLAIMED THIS YEAR. 
   COMPLETE SCHEDULE D
CREDIT GENERATED THIS YEAR
8  TOTAL NET COST OF QUALIFIED CHILD-CARE PROPERTY ACQUIRED DURING THE TAXABLE YEAR AND THE COST OF SUCH PROPERTY 
   COMPLETE SCHEDULE C

9  AGGREGATE AMOUNT OF TAX CREDIT (LINE 8 MULTIPLIED BY 0.5)

10 MAXIMUM CREDIT ALLOWED FOR USE THIS YEAR (LINE 9 MULTIPLIED BY 0.2)

11  AMOUNT OF CREDIT CLAIMED FROM CREDIT GENERATED THIS YEAR (MAY NOT EXCEED LINE 6 MINUS LINE 7)

12 CURRENT YEAR CREDIT NOT CLAIMED THIS YEAR. (LINE 10 MINUS 11)
CREDIT CLAIM
13 TOTAL CLAIMED THIS YEAR (ENTER  THE SUM OF LINE 11 AND 7.  THIS MAY NOT EXCEED LINE 6) 
   ENTER ON YOUR INCOME TAX CREDIT SCHEDULE (CIT-120TC, PTE-100TC, IT-140 RECAP, OR IT-141 RECAP)

                                                                SIGNATURE
                 Under penalties of perjury, I declare that I have examined this credit claim form and to the best of my knowledge it is true and complete.

             SIGNATURE OF TAXPAYER                            NAME OF TAXPAYER (PRINT OR TYPE)         TITLE                                               DATE

   SIGNATURE OF PREPARER OTHER THAN TAXPAYER                                              ADDRESS                                                          DATE

                          PERSON TO CONTACT CONCERNING THIS RETURN                                                TELEPHONE

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                         SECTION C: CAPITAL INVESTMENT DETAILS 
LIST EACH QUALIFIED CAPITAL INVESTMENTS IN CHILD-CARE PROPERTY
IF MORE THAN 25 INVESTMENTS WERE MADE, NCLUDE MULTIPLE COPIES OF THIS SCHEDULE AS NEEDED. 
DATE PLACED INTO SERVICE                                      DETAILED DESCRIPTION        NET COST

PAGE TOTAL NET COST OF INVESTMENTS 

SUM OF ALL SCHEDULE C (ENTER THE SUM OF ALL PAGE TOTALS) ENTER ON SECTION B LINE 8

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CREDIT CREDIT 
COLUMN G
CARRYFORWAD CARRYFORWAD

COLUMN F
CREDIT CLAIMED THIS TAX YEAR CREDIT CLAIMED THIS TAX YEAR
0

COLUMN E
AVAILABLE CREDIT AVAILABLE CREDIT

COLUMN D
4TH PRIOR YEAR

COLUMN C
3RD PRIOR YEAR 3RD PRIOR YEAR

COLUMN B
2ND PRIOR YEAR 2ND PRIOR YEAR
SECTION D: PRIOR YEAR CREDITS DETAILS 

COLUMN A PRIOR YEAR PRIOR YEAR 

YEAR INVESTMENT WAS MADE AND CREDIT WAS ORIGINALLY  GENERATED AMOUNT OF CREDIT ORIGINALLY GENERATED ANNUAL PORTION OF CREDIT ALLOCATED TO CURRENT TAX YEAR UNUSED ANNUAL CREDIT FROM LAST TAX YEAR’S FORM (SECTION B, LINE 12) UNUSED ANNUAL CREDIT FROM LAST YEAR'S FORM (SECTION D, LINE 3) CREDIT CARRYFORWARD FROM LAST YEAR'S FORM (SECTION D, LINE 4 AND 5) CREDIT CARRYFORWARD FROM LAST YEAR’S FORM (SECTION D, LINE 6) CREDIT CLAIMED THIS YEAR
ANNUAL CREDIT EARNED AND CARRYFORWARD CREDIT FROM PRIOR TAX PERIODS (ALLOCATED ANNUAL CREDIT) ALLOCATED ANNUAL CREDIT 1 2 3 CARRYFORWARD CREDIT 4 5 6 7 8
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                      SECTION E: INVESTMENT PROPERTY DISPOSED OR SOLD
PROVIDE DATE DISPOSED/SOLD, DESCRIPTION, AND VALUE/PRICE SOLD
DATE DISPOSED OR SOLD                                        DESCRIPTION VALUE OR SALE PRICE

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                                     Schedule CIP
WEST VIRGINIA CREDIT FOR CAPITAL INVESTMENT IN CHILD-CARE PROPERTY 
                                                INSTRUCTIONS 

                        INSTRUCTIONS FOR SCHEDULE CIP
Complete business identification section, including business name, address, tax year to which the credit is being applied, 
federal identification number and North American Industry Classification System (NAICS) code in lines 1 through 4.
        Did you dispose or sell any capitol investment property on which you have taken this credit? If yes, provide the 
        Date you disposed or sold any capitol investment, a description of the property, and the value of the property 
        disposed or the amount for which the property was sold. 
Line 6  Enter the Total West Virginia income tax before credits.
Line 7  Enter the amount of Carry Forward Credit being claimed this year. Section D must be completed.
        The aggregate amount of credit may be claimed at a rate of 20 percent per year over a period of five taxable years. 
        In the case of a qualified child-care property jointly owned by two or more unaffiliated employers, each employer’s 
        credit is limited to that employer’s respective investment in the qualified child-care property.
Line 8  Enter the total net cost of qualified child-care property acquired during the taxable year and the cost of such 
        property. Section C must be completed.  
Line 9  Enter the aggregate amount of tax credit. Multiply line 8 by 0.5. 
Line 10  Enter the maximum credit allowed to use this year. Multiply line 9 by 0.2. 
Line 11  Enter the amount of credit being claimed this year. This may not exceed line 6 minus line 7.
Line 12  Enter the current year credit not claimed this year. Enter line 10 minus line 11. 
Line 13  Calculate the total Credit claimed this year by adding lines 11 and 7. This may not exceed line 6. 
        Enter this amount on the credit summary of your income tax return.

                                                SECTION C
List each qualified capital investments in child-care property
If more than 25 investments were made, you may copy the Schedule C and include multiple copies of this schedule. 
Date Placed Into Service Must be on or after July 1, 2022.
Net cost of qualified property is the monetary consideration provided for acquisition of title or for lease or ownership of the 
        subject property. Net cost does not include the value of Property given in trade or exchange for property purchased 
        for manufacturing investment.
        If property is damaged or destroyed by fire, flood, storm or other casualty, or is stolen, then the cost of replacement 
        property does not include any insurance proceeds received in compensation for the loss.

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                                                 SECTION D
Calculations of available allocated credit
Item 1    List the four prior tax periods in descending order
Item 2   List the total amount of credit which was generated in each tax period
Item 3   List the amount of credit from each tax period which was allocated to the current tax year (20% of Line 2).
         Enter the amount of credit from this line that you are claiming this tax year in column F.
Calculation of carryforward credit (unused credit can be carried forward for three tax periods)
Item 4    List the unused credit from last tax year’s form Section B Line 12
         Enter the amount of credit from this line that you are claiming this tax year in column F
Item 5    List the amount of Credit Carryforward from last year’s form Section D Line 3
         Enter the amount of credit from this line that you are claiming this tax year in column F
Item 6    List the total Credit Carryforward from last year’s form from Line 4 & Line 5
         Enter the amount of credit from this line that you are claiming this tax year in column F
Item 7    List the credit carryforward from last year’s form Section D Line 6
         Enter the amount of credit from this line that you are claiming this tax year in column F
Item 8    Enter the total amount of credit claimed this tax year from all lines
         Enter the total on Section B Line 7

                                                 SECTION E

For Investment property disposed or sold, provide date disposed/sold, description, and value/price sold.

                                             SALE OF CREDIT 
If you sell your Childcare Investment PropertyTax Credit you must provide the following to the West Virginia Tax Division: 
 •      Name of the purchaser
 •      Address of the purchaser
 •      Phone number of the purchaser
 •      TIN of the purchaser
 •      The amount of the original credit 
 •      How much credit has already been utilized
 •      How much of the remianing credit is being sold 
This credit may only be sold by a nonprofit. 

Revised 01/2023

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