Form Rev-545 (Ct) - Research And Development Tax Credit Application - 2017 Page 2
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1
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3
4BREAKDOWN OF R&D EXPENDITURES BY LOCATION
PART I
Column 1
Column 2
Column 3
Column 4
Line 1
Federal R&D Expense
$
100%
PA-Qualified
PA Expenditure
Percent of Federal Expense
PA Location:
Total Expenditure
Expenditure
Located in KOZ
(Percent of Line 1, Column 3)
Line 2
A
$
$
$
%
Line 3
B
$
$
$
%
Line 4
C
$
$
$
%
Line 5
D
$
$
$
%
Line 6
E
$
$
$
%
Line 7
Non-PA Expenditures
$
%
Line 8
Total
$
$
100%
PART II
Address
City
ZIP Code
A.
B.
C.
D.
E.
PART III
3rd Party
Contact Name
Employer Name
Telephone Number
Fax Number
Email Address
A.
B.
C.
D.
E.
REV-545, PAGE 2 of 4
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