Form 526-A - Rural Small Business Capital Company Report For Investors - 2009

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State of Oklahoma
Rural Small Business Capital Company
526-A
2
0
Report for Investors
0
The Rural Small Business Capital Company must file Form 526 before this credit will be allowed.
9
A copy of this form must be enclosed with the investor’s income tax return if the credit is claimed.
This form must be furnished to the investor by January 31st. See instructions for further information.
Identification Number ______________________________
Identification Number ______________________________
Name of Investor _________________________________
Name of Rural Small Business Capital Company:
Address _________________________________________
________________________________________________
City _______________________ State _____ Zip _______
Address _________________________________________
City _______________________ State _____ Zip _______
Telephone Number ________________________________
Part 1:
Establishing the Rural Small Business Capital Credit
(4)
(1)
(2)
(3)
Date
Total Investment in,
of
or in conjunction with, the Rural
Total Credit Available
Credit Allowable
Investment
Small Business Capital Company
(Column 2 x 30%)
in 2009
Total Credit Allowable in 2009
Carry the credit claimed this year to Form 511CR. If the entire credit is not being claimed this year, complete Part 2 for the subsequent carryover years.
Under penalties of perjury, I declare that I have examined this return, including accompanying statements, and to the best of my knowledge and belief it
is true, accurate and complete.
Officer, General Partner or Member of the Rural Small Business Capital Company: _____________________________________ Date: ___________
Part 2:
2009 Credit Carryover
1.
Total credit allowable in 2009 ............................................................................... 1.
2.
Credits used in prior years:
Year
Amount
2009
(a)
$
(b)
2010
$
2011
(c)
$
Total credits used prior to this year . ......................................................... 2.
3.
Unused credit available (line 1 less line 2) ........................................................... 3.
4.
Credit claimed this year, _____ (carry to Form 511CR) ...................................... 4.
5.
Unused balance carryover (line 3 less line 4) (three year carryover limit) . ........... 5.

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