Form 42-010 - Iowa Tax Credit Certificate - Property Rehabilitation, Assistive Device, Investment Credit Form
ADVERTISEMENT
1Iowa Department of Revenue
Iowa Tax Credit Certificate
Property Rehabilitation, Assistive Device, Investment Credit
This certificate is to be completed by a taxpayer claiming a property rehabilitation tax credit, assistive device tax credit
for small businesses, or an investment tax credit for businesses involved in the production of value-added agricultural
products.
Taxpayer Name
Credit Claimed
Property Rehabilitation
Address
Assistive Device
City
State
Zip Code
Investment Credit-Value Added AG
Taxpayer Identification No.
Property Rehabilitation Tax Credit
Date of Project Completion __________________
Tax Period Ending
(Attach certificate of completion)
Certified Amount of Tax Credit _______________
For The Business:
If Property Rehabilitation Credit is
Officer Name __________________________
Transferred
Title __________________________________
Name of Transferee ________________________
Date _________________________________
Tax Identification No.: ______________________
Contact Person ________________________
Tax Credit Being Transferred: _______________
Assistive Device Tax Credit
For Economic Development (or Cultural Affairs
Date of Project Completion __________________
if claiming Property Rehabilitation Credit):
(Attach certificate of completion)
Name ________________________________
Certified Amount of Tax Credit _______________
Title __________________________________
Investment Tax Credit
Date _________________________________
Date of Project Completion __________________
Signature _____________________________
(Attach certificate of completion)
Certified Amount of Tax Credit _______________
Tax Certificate Instructions
Type of Business __________________________
This tax credit certificate must be attached to any income tax return claiming a property rehabilitation tax credit,
assistive device tax credit for small businesses, or an investment credit for businesses involved in the production of
value-added agricultural products. If the business claiming the credit is a partnership, S corporation, limited liability
company, or estate or trust electing to have the income taxed directly to the individual, please attach a schedule listing
each individual and the amount of credit attributable to each.
The property rehabilitation tax credit can be transferred for tax years beginning on or after January 1, 2003.
Within 90 days of transfer, the transferee must submit the transferred tax credit certificate to the Department of
Cultural Affairs with a statement containing the transferee’s name, address, tax identification number and denomination
that each replacement tax credit certificate should carry. A replacement tax credit certificate will then be issued to the
transferee.
A copy of this form must be attached to any tax return on which a certified credit or refund is taken.
42-010 (6/4/03)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 49e - Idaho Election To Claim The Qualified Investment Exemption From Property Tax In Lieu Of Investment Tax Credit - 2013
Financial
Form 49e - Idaho Election To Claim The Qualified Investment Exemption From Property Tax In Lieu Of Investment Tax Credit - 2015
Financial
Form 49e - Idaho Election To Claim The Qualified Investment Exemption From Property Tax In Lieu Of Investment Tax Credit - 2014
Financial
Related Categories
Parent category: Financial