Form It-Hc - Certification Of Georgia Housing Tax Credit Page 3
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3IT-HC
Tax Year
FYE
FYE
FYE
FYE
FYE
FYE
FYE
FYE
FYE
FYE
FYE
2001
20__
20__
20__
20__
20__
20__
20__
20__
20__
20__
Partner’s Credit
Amount
Partner’s
Unused
Carryover
Total Available
Credit
Georgia Tax
Liability
Current Year
Credit Allowed
Unused
Georgia
Housing Credit
Recaptured
Credit
Under penalties of perjury, I declare that: (1) the above building continues to qualify
as a part of a qualified low-income housing development and meets the
requirements of Internal Revenue Code Section 42(g) and O.C.G.A. Section 48-7-
29.6 and (2) the qualified basis of the building (check one) ____ has not ____ has
decreased for this tax year. I have examined this form, and to the best of my
knowledge and belief, it is true, correct and complete.
_______________________________________________________________
Signature
Taxpayer ID Number
Date
________________________________________________________
Name (please type or print)
3
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