Page 4 CT-40 (8/99)
Part B - Alternative fuels credits transferred to affiliates
(see instructions)
Tax
Credit
Transferee corporation name
Employer ID (EIN)
year
transferred
36
37
38
39
Total credit transferred to affiliates
................................
(add lines 36, 37, and 38; enter here and on line 7)
Certification of transferee corporation
(for line 36)
I certify that I am an elected officer of or authorized person with respect to the transferee corporation named above. On behalf of such
corporation, I elect to receive from the taxpayer the amount of credit shown above.
Signature of elected officer or authorized person
Official title
Transferee corporation name
Date
Certification of transferee corporation
(for line 37)
I certify that I am an elected officer of or authorized person with respect to the transferee corporation named above. On behalf of such
corporation, I elect to receive from the taxpayer the amount of credit shown above.
Signature of elected officer or authorized person
Official title
Transferee corporation name
Date
Certification of transferee corporation
(for line 38)
I certify that I am an elected officer of or authorized person with respect to the transferee corporation named above. On behalf of such
corporation, I elect to receive from the taxpayer the amount of credit shown above.
Signature of elected officer or authorized person
Official title
Transferee corporation name
Date
Certification of transferor corporation
I certify that I am an elected officer of or authorized person with respect to the taxpayer. On behalf of such corporation, I elect to transfer to
the affiliated corporation(s) named above the amount of credit shown on line 39 of this form.
Signature of elected officer or authorized person
Official title
Transferor corporation name
Date