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2005
ARIZONA FORM
Environmental Technology Facility Credit
305
For taxable year beginning
, and ending
Attach to your return
Name(s) as shown on Forms 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Social security number or employer identifi cation number
Arizona Department of Commerce certifi cation number: _________________________________________________________________________________
Part I
Schedule of Cost of Equipment or Property Used in Construction of Facility for Current Year
and Calculation of Current Year’s Credit
1 Date of facility’s initial construction ..................................................................................................................................................
1
(a) Description
(b) Cost
00
00
00
00
00
00
00
00
00
00
00
00
2 Total .................................................................................................................................................................................................
2
3 Current year’s credit - multiply line 2 by 10 percent (.10) ................................................................................................................
3
00
Part II
S Corporation Credit Election and Shareholder’s Share of Credit
4 The S corporation has made an irrevocable election for the taxable year ending
to:
(CHECK ONLY ONE BOX)
Claim the environmental technology facility credit as shown on Part I, line 3 (for the taxable year mentioned above);
OR
Pass the environmental technology facility credit as shown on Part I, line 3 (for the taxable year mentioned above) through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholder, complete lines 5 through 7 separately for each shareholder. Furnish each shareholder with a copy of the
completed Form 305.
5 Name of shareholder
6 Shareholder’s TIN
7 Shareholder’s share of the amount on Part I, line 3
Part III
Partner’s Share of Credit
Complete lines 8 through 10 separately for each partner. Furnish each partner with a copy of the completed Form 305.
8 Name of partner
9 Partner’s TIN
10 Partner’s share of the amount on Part I, line 3
ADOR 91-0052 (05)