An individual, (S) corporation, or partnership who owns land on which timber is harvested which abuts a waterway and who forbears timber harvesting on certain portions of the land for 15 years may apply to the Virginia Department of Forestry for a nonrefundable tax credit beginning January 1, 2000. The amount of the credit is equal to 25% of the value of the timber retained as a buffer up to $17,500. The value of the timber retained in the buffer is decreased by 50% when the landowner chooses to perform a partial harvest in the buffer. The buffer must be at least 35 feet wide and no more than 300 feet and remain intact for 15 years. Tax credit must be claimed for the same year as the harvest completion date.
SECTION 1 – Primary Contact Information
Primary contact will provide VDOF with required documents and information, and will certify completeness and accuracy of application information. VDOF will direct ALL related correspondence, including final certification document to this person.
Contact Name:
Mailing Address:
City:	State:	Zip:
Phone:	Fax:
E-mail:
SECTION 2 – Individual Landowner Information
If ANY Landowners are (S) Corporations or Partnerships, please use VDOF Form 18.9 S-Corporation / Partner Landowner Information. All shareholder/partner information is required by the Department of Taxation.
Last Name	First Name	MI	SSN	% Tax Credit to be Received
%
%
%
%
Additional Landowners or S-Corporation/Partnership Information Attached on Separate Page (Form 18.9)	100%
SECTION 3 – Property Information
County/City Property is In:
Location of Property/Tract:
Legal Description/Plat Reference:
Buffer Value Based On:	Average Harvest Value/Acre	Buffer Acres (must match the map):
Total Harvest Value:	$	Total Harvest Acres:
Professional Timber Cruise	Cruised Timber Value Inside Buffer:	$
Harvest Inside Buffers:	No Harvest	Partial Harvest (no more than 50% of canopy cover)
Date of Harvest Completion:	(Determines tax year that credit is redeemable for)	/	/
MM	DD	YYYY
SECTION 4 – Applicant Agreement
I certify that the information provided on this application is complete and accurate. As lawful owners of this Virginia land, I agree to maintain these buffer(s) for a period of fifteen (15) consecutive years. Payment is attached for the application fee of $150.
Applicant Name (Print)	Applicant Signature	Date
Attach copy of (1) Forest Stewardship Plan (including all buffers), (2) Proof of Ownership, (3) Proof of Buffer Timber Value, and (4) Hardcopy Map of Buffers on USGS 7.5 Minute Topo Quadrangle (that has not been reduced from original scale). Send completed application package to the local VDOF Office for certification.
SECTION 5 – VDOF Approval
I certify that the information provided on this application is complete and accurate.
Forester Name (Print)	Forester Signature	Date