Form 104cr - Individual Credit Schedule 2001 Page 2
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1
2Part IV- Personal Credits - continued
5
Other Personal Credits–
(a) Child care credit carryover ................................................................. 5(a)
.00
(b) Colorado minimum tax credit ............................................................. 5(b)
.00
.00
(c) Historic property preservation credit .................................................. 5(c)
.00
(d) Child care center investment credit .................................................... 5(d)
.00
(e) Employer child care facility investment credit .................................... 5(e)
.00
(f) School-to-career investment credit .................................................... 5(f)
.00
(g) Colorado works program credit .......................................................... 5(g)
.00
(h) Child care contribution credit ............................................................. 5(h)
.00
(i) Rural technology enterprise zone credit ............................................ 5(i)
.00
(j) Long term care insurance credit ........................................................ 5(j)
.00
(k) Contaminated land redevelopment credit .......................................... 5(k)
.00
(l) Low-income housing credit ................................................................ 5(l)
(m) Total of lines 5(a) through 5(l) .................................................................................... 5(m)
.00
.00
6
Total personal credits, add lines 4(g) and 5(m). Enter here and on line 25, Form 104 ........ 6
.00
7
(a) Alternative fuel vehicle credit (Vehicle type_________________) .... 7(a)
.00
(b) Alternative fuel refueling facility credit ................................................ 7(b)
(c) Total alternative fuel credits-Add lines 7(a) and 7(b). Enter here and on
.00
line 26 of Form 104 ...................................................................................................... 7(c)
8
Health benefit plan credit
.00
(a) Premium paid for a qualifying benefit plan ......................................... 8(a)
$500 .00
(b) Maximum credit .................................................................................. 8(b)
.00
(c) Total of lines 21 and 22, Form 104 .................................................... 8(c)
(d) Health benefit plan credit, enter the smaller of lines 8(a), 8(b) or 8(c)
.00
enter here and on line 27 of Form 104 ......................................................................... 8(d)
.00
9
Agricultural value-added credit, enter here and on line 28 of Form 104 ............................. 9
If the total of lines 6, 7(c), 8(d), 9 and 17 on this Form 104CR exceeds the total of lines 21 and
22 Form 104, see the limitation at the bottom of this form.
Part V - Enterprise Zone Credits
If credit is passed through from an S corporation or a partnership, give name, ownership percentage and Colorado
account number of the organization, and attach a copy of the corporation or partnership certification.
Name
Ownership %
Account Number
.00
10 Enterprise zone credits carried over from 2000, attach schedule ......................................... 10
.00
11 Enterprise zone investment credit ......................................................................................... 11
.00
12 Enterprise zone new business facility employee credit ......................................................... 12
.00
13 Enterprise zone agricultural employee processing credit ...................................................... 13
.00
14 Enterprise zone employee health insurance credit ................................................................ 14
.00
15 Contribution to enterprise zone administrator credit .............................................................. 15
.00
16 Other enterprise zone credits, attach explanation ................................................................. 16
.00
17 Total enterprise zone credits, add lines 10 through 16. Enter here and on line 29, Form 104. .... 17
If the total of lines 6, 7(c), 8(d), 9 and 17 on this Form 104CR exceeds the totals of lines 21
and 22 Form 104, see the limitation at the bottom of this form.
Credits to be carried over to 2002:
LIMITATION: The total credits you claim on lines 6, 7(c), 8(d), 9 and 17 of this form 104CR may not exceed the total tax on lines 21
and 22 of your income tax return, Form 104. If you have excess credits, you must choose which credits you are going to use against
your 2001 tax and enter those amounts on lines 25 through 29 of Form 104. Most unused 2001 credits may be carried over to and
claimed on your 2002 Colorado income tax return.
ATTACH THIS FORM TO YOUR COMPLETED INCOME TAX RETURN FORM 104
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