Form N-334a - Information Statement - 2009

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FORM
STATE OF HAWAII
DEPARTMENT OF TAXATION
TAXABLE
__
INFORMATION STATEMENT
N-334A
YEAR
CONCERNING RENEWABLE ENERGY TECHNOLOGIES INCOME TAX CREDIT
2009
(REV. 2009)
(FOR SYSTEMS INSTALLED AND PLACED IN SERVICE BEFORE JULY 1, 2009)
(TO BE CLAIMED BY INDIVIDUAL OR CORPORATE SHAREHOLDERS OF S CORPORATIONS, MEMBERS OF PARTNERSHIPS,
BENEFICIARIES OF ESTATES OR TRUSTS, OR CONDOMINIUM APARTMENT ASSOCIATIONS)
Or fiscal year beginning ____________, 2009, and ending ____________, 20_____.
ATTACH THIS STATEMENT TO FORM N-334
Name (S Corporation, Partnership, Estate, or Trust, or Condominium Apartment Association)
Social Security Number or Fed. Employer I.D. Number
Number and Street
S Corporation
Partnership
City or Town, State and Postal/Zip Code
Estate or Trust
Condominium Apartment Association
Name of individual or corporation for whom this statement is being prepared
NOTE: Every Hawaii S corporation, partnership, estate, or trust, or condominium apartment association, is required to prepare this statement for each individual
or corporate shareholder, member, or beneficiary, respectively, in order that the prorated amount of such entity’s tax credit may be claimed by the individual
or corporate taxpayer. Also attach a copy of this form as issued to each member to the return of the S corporation, partnership, estate, or trust,
condominium apartment association.
MEMBERS: USE THE INFORMATION PROVIDED ON THIS STATEMENT TO COMPLETE THE FORM N-334 USED TO CLAIM YOUR SHARE OF
THIS TAX CREDIT. ATTACH BOTH THE FORM N-334 AND A COPY OF THIS FORM TO THE RETURN YOU FILE.
COMPUTATION OF TAX CREDIT
SOLAR THERMAL ENERGY SYSTEM
Enter date system was installed and placed in service
____/____/____
1. Cost of qualified solar thermal energy system installed and placed in service in Hawaii on
single-family residential property ..............................................................................................
1
2. Enter the amount of consumer incentive premiums, costs used for other credits, and utility
2
rebate, if any, received for the qualifying system ..........................................................................
3. Actual cost of solar thermal energy system. (Subtract line 2 from line 1 and enter result) .........
3
4. Enter 35% of line 3 or $2,250, whichever is less ..........................................................................................................................
4
5. Per unit cost of qualified solar thermal energy system installed and placed in service in
Hawaii on multi-family residential property ...............................................................................
5
6. Enter the per unit amount of consumer incentive premiums, costs used for other credits,
6
and utility rebate, if any, received for the qualifying system .........................................................
7. Actual per unit cost of solar thermal energy system. (Subtract line 6 from line 5
7
and enter result) ...........................................................................................................................
8. Enter 35% of line 7 or $350, whichever is less ............................................................................
8
9. Number of units you own to which the allocated unit cost on line 7 is applicable ........................
9
10. Multiply line 8 by line 9 and enter result ........................................................................................................................................ 10
11. Cost of qualified solar thermal energy system installed and placed in service in Hawaii
on commercial property ..............................................................................................................
11
12. Enter the amount of consumer incentive premiums, costs used for other credits, and utility
12
rebate, if any, received for the qualifying system ..........................................................................
13. Actual cost of solar thermal energy system. (Subtract line 12 from line 11 and enter result) .....
13
14. Enter 35% of line 13 or $250,000, whichever is less .................................................................................................................... 14
15. Add lines 4, 10, and 14, and enter result (but not less than zero). ................................................................................................ 15
WIND-POWERED ENERGY SYSTEM
Enter date system was installed and placed in service
____/____/____
16. Cost of qualified wind powered energy system installed and placed in service in Hawaii on
single-family residential property ..............................................................................................
16
17. Enter the amount of consumer incentive premiums, costs used for other credits, and utility
17
rebate, if any, received for the qualifying system ..........................................................................
18. Actual cost of wind powered energy system. (Subtract line 17 from line 16 and enter result) ....
18
19. Enter 20% of line 18 or $1,500, whichever is less ........................................................................................................................ 19
20. Per unit cost of qualified wind powered energy system installed and placed in service in
Hawaii on multi-family residential property ...............................................................................
20
21. Enter the per unit amount of consumer incentive premiums, costs used for other credits,
21
and utility rebate, if any, received for the qualifying system .........................................................
22. Actual per unit cost of wind powered energy system. (Subtract line 21 from line 20
22
and enter result) ...........................................................................................................................
(Continued on back)
FORM N-334A

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