3694, Page 3
PART 3 SUMMARY OF THE COST OF ELIGIBLE INVESTMENT MADE BY EACH QUALIFIED TAXPAYER(s) AND AVAILABLE BROWNFIELD CREDIT.
This part should be filled out by the qualified taxpayer designated on the Brownfield Redevelopment Credit
Project Preapproval Application. For lines 12 and 13, enter the requested information from the Preapproval Letter received:
%
12. Percentage of eligible investment used to determine credit for the project:
12.
.00
$
13. Maximum total of all credits for the completed project:
13.
.00
$
14. Maximum total eligible investment for the project eligible for credit. Divide line 13 by line 12
14.
15. Complete the following schedule of eligible investment for the completed project. Attach a detailed list, including dates, for each category below.
Qualified Taxpayer 1.
Qualified Taxpayer 2.
Qualified Taxpayer 3.
Qualified Taxpayer 4.
Name and federal employer ID number of
qualified taxpayer who made eligible investment
Type of Eligible Investment
$
$
$
$
Demolition of Buildings
$
$
$
$
Site Improvements
$
$
$
$
New Construction
Restoration, Alteration, Renovation
$
$
$
$
and Improvement of Buildings
$
$
$
$
Purchased
Addition of Machinery, Equipment
Leased
$
$
$
$
and Fixtures (See instructions)
16. Total Eligible Investment for
$
$
$
$
Each Qualified Taxpayer
17. Add the amounts from lines 16 across and enter the total here.
$
.00
If this amount exceeds line 14, go to line 18, otherwise go to line 19
17.
18. Reduced Eligible Investment.
The designated respresentative must reduce the
$
$
$
$
amounts on line 16 for one or more qualified
taxpayer so that the sum of line 18 amounts equals the amount on line 14.
19. Brownfield Redevelopment Credit.
Multiply each amount on line 16 or 18, whichever
$
$
$
$
applies, by the percentage on line 12.
$
.00
20. Add the amounts from lines 19 across and enter here. This amount may not be more than the amount on line 13
20.
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2
3
4
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