Arizona Form 314 - Underground Storage Tanks Credit - 2004

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2004
ARIZONA FORM
Underground Storage Tanks Credit
314
MM
MM
DD
DD
YYYY
YYYY
MM
MM
DD
DD
YYYY
YYYY
For taxable year beginning ______/______/________, and ending ______/______/________
Attach to your return
Name(s) as shown on Forms 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X
Social security number or employer identifi cation number
NOTE: This credit has been repealed effective August 25, 2004.
Eligibility questions
Yes
No
A. Have you been notifi ed by the Department of Environmental Quality (DEQ) that you are liable or responsible for corrective action?
If the answer to this question is yes, you are not eligible for this credit.
Yes
No
B. Was the corrective action taken certifi ed by DEQ as having been performed and as meeting the requirements of ARS § 49-1005?
If the answer to this question is no, you are not eligible for this credit.
Part I
Schedule of Cost of Corrective Actions
(a)
(b)
(c)
(d)
Date of
Cost of
Net cost of corrective action
*
Reimbursement received from DEQ
corrective action
corrective action
(subtract column (c) from column (b))
1
00
00
00
2
00
00
00
3
00
00
00
4
00
00
00
5
00
00
00
6
00
00
00
7
00
00
00
8
00
00
00
9
00
00
00
10
00
00
00
TOTAL - add lines 1
11
through 10 in column (d)
00
* A complete description of the item must be entered in Part III on reverse side.
Part II
Calculation of Tax Credit for Current Taxable Year
12
Total available credit - multiply the amount from Part I, line 11, column (d) by 10 percent (.10). Enter the result here and on
Form 300, Part I, line 9 or Form 301, Part I, line 11...................................................................................................................
12
00
ADOR 91-0074 (04)

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