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Form Nc-415 - Tax Credit For Qualifying Expenses Of A Production Company - North Carolina Department Of Revenue Page 2

Page 2

NC-415

Name

SSN or FEIN

3-10

Part 4. Computation of Alternative Credit for Qualifying Expenses of a Production Company

(Not applicable for qualifying expenses incurred before January 1, 2010. See instructions.)

8. Total North Carolina qualifying expenses

(From Line 5)

Multiply Line 8 by 25% (.25)

10. Amount of Line 8 subject to the tax on mill machinery under G.S. 105-187.51

11. Multiply Line 10 by the applicable state and local sales and use tax rate

12. Enter the amount of North Carolina mill machinery tax paid on the

purchases shown on Line 10

13. Subtract Line 12 from Line 11 but not less than zero

14. Alternative Credit for Qualifying Expenses of a Production Company

Line 9 minus Line 13

Part 5. Computation of Credit Amount to be Taken

15.

Credit for Qualifying Expenses of a Production Company

Enter amount from Part 3, Line 7 or Part 4, Line 14

16. Income Tax Credit Adjustment (C corporations only)

Multiply Line 15 by 6.9%

17. Credit Amount to be Taken

Line 15 minus Line 16

I certify that the taxpayer filing Form NC-415 meets the requirements for claiming the tax credit and that the information given is, to the best of my knowledge, accurate and complete.

Signature of Taxpayer or Authorized Agent

Date

MAIL TO: North Carolina Department of Revenue, Central Exams, Corporate Group Manager, PO Box 871, Raleigh, North Carolina 27602

Form Nc-415 - Tax Credit For Qualifying Expenses Of A Production Company - North Carolina Department Of Revenue Page 2

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