Form 3660 - Credit Project Preapproval Application
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Michigan Department of Treasury
SBT OFFICE USE ONLY
3660 (Rev. 3/03)
Parcel No(s).
Project No.
SBT Brownfield Redevelopment
Credit Project Preapproval Application
Date Received
Date of Preapproval or Denial Letter
Issued under authority of P.A. 228 of 1975 as amended. Filing is Mandatory.
For Single Business Tax Credits of $1 million or less
PART 1: QUALIFIED TAXPAYER INFORMATION.
Enter Project Name:
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Do you own or lease the eligible property? If "Yes", check the one that applies.
Lease
Documentation must be
Own
If no, you are not a qualified taxpayer and are not eligible for this credit.
attached verifying status.
5. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Do you own or lease the eligible property? If "Yes", check the one that applies.
Lease
Documentation must be
Own
If no, you are not a qualified taxpayer and are not eligible for this credit.
attached verifying status.
5. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Do you own or lease the eligible property? If "Yes", check the one that applies.
Lease
Documentation must be
Own
If no, you are not a qualified taxpayer and are not eligible for this credit.
attached verifying status.
5. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
6. Will the project include an unknown lessee who will be making eligible investments?
Yes
No
7. Is this project a multiphase project as defined in MCL 208.38g(33)(h)?
Yes
No
Industrial
Manufacturing
If yes, check the one that applies:
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