Az Form 327 - Vehicle Refueling Apparatus Credit 2001 Page 2

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AZ Form 327 (2001) Page 2 of 3

Part III

Credit for Installation of an Infrastructure Necessary for Operation of a Refueling Apparatus

12 Number of properties in Arizona for which you installed a qualifying infrastructure............................................................................

PROPERTY 1

PROPERTY 2

PROPERTY 3

13 Type of infrastructure installed.................................... 13

14 Enter the address for which each infrastructure was

installed.......................................................................

.................................................................................... 14

15 Enter the date on which you entered into the

purchase order agreement/contract for the

installation of the infrastructure................................... 15

16 Enter the date on which you purchased the

apparatus for which the infrastructure was installed... 16

17 Enter the installation cost of the infrastructure

installed for refueling apparatus located on

your property in Arizona.............................................. 17

18 Add the amounts on line 17 in each column, and enter the result..........................................................................................

19 Total from continuation sheets if applicable ............................................................................................................................

20 Add lines 18 and 19. Enter the total.......................................................................................................................................

Part IV

Total Current Year’s Credit

21 Total available credit: Add the amounts on Part II, line 11, and Part III, line 20. Enter the total here ...............................................

Part V

S Corporation Election and Shareholder’s Share of Credit

22 The S corporation has made an irrevocable election for the taxable year ending

M M

D D

Y Y Y Y

to:

(Check only one box)

Claim the credit as shown on Part IV, line 21 (for the taxable year mentioned above)

Pass the credit as shown on Part IV, line 21 (for the taxable year mentioned above) through to its shareholders

Signature

Title

Date

Complete Form 327 through line 22. Then, if passing the credit through to the shareholders, complete lines 23 through 25 separately for each shareholder. Furnish

each shareholder with a copy of the completed Form 327.

23 Name of shareholder:

24 Shareholder’s TIN:

25 Shareholder’s share of the amount on Part IV, line 21 .......................................................................................................................

Part VI

Partner’s Share of Credit

Complete Form 327 through line 21. Then complete lines 26 through 28 separately for each partner. Furnish each partner with a copy of the completed Form 327.

26 Name of partner:

27 Partner’s TIN:

28 Partner’s share of the amount on Part IV, line 21 ...............................................................................................................................

Continued...

ADOR 91-0026 (01) slw