Form Tc-40h - Historic Preservation Tax Credit
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Utah State Tax Commission
TC-40H
Historic Preservation Tax Credit
Rev. 12/06
Get forms online - tax.utah.gov
Utah law allows a Utah resident a nonrefundable credit against individual income tax, corporate franchise tax or fiduciary
tax for expenses incurred in connection with the qualified rehabilitation of any residential certified historic building.
Do not send this form with your return. Keep this form and all related documents with your records.
Taxpayers
claiming this credit must complete one form for each rehabilitation claimed. See procedure instructions on the reverse
side.
Before claiming this credit, taxpayers must file an application for approval of all proposed rehabilitation work
with the State Historic Preservation Office prior to the completion of restoration or rehabilitation work on the
project.
Part A - This section must be completed by the taxpayer
Taxpayer's name
Telephone number
Social security number or EIN
Address
State and ZIP code
City
Part B - This section must be completed by the State Historic Preservation Office
Address of residential certified historic building
State and ZIP code
City
Date final certification number was issued
The residential certified historic building indicated above has been issued the
following final certification number:
Certification by the State Historic Preservation Office
I certify to the best of my knowledge and belief the information contained in Part B above is true and complete.
Authorized signature
Date signed
Title
Part C - This section must be completed by the taxpayer
/
/
1. Date of original project approval
1
/
/
2. Date project completed
2
3
3. Total amount of the Historic Preservation cost
$
4
4. Total amount of tax credit from project (line 3 multiplied by .20)
5. Amount of Historic credit used in year one (must not exceed
5
the amount of tax due on your return).
6
6. Amount of Historic tax credit used second year
7. Amount of Historic tax credit used third year
7
8. Amount of Historic tax credit used fourth year
8
9. Amount of Historic tax credit used fifth year
9
10
10. Amount of Historic tax credit used sixth year
Total of lines 5 through 10 cannot exceed line 4.
IMPORTANT - PLEASE READ
Refer to the instructions for your INCOME TAX (TC-40),
CORPORATE TAX (TC-20 or TC-20S), or FIDUCIARY
TAX (TC-41) return to determine the line number on which
The credit code is "06" for all returns.
you will record this credit.
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