Arizona Form 304 - Enterprise Zone Credit - 2002 Page 3
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6AZ Form 304 (2002) Page 3
Part VIII Limited Liability Companies
29 What is the federal tax classifi cation of the limited liability company (LLC)? Check only one box
S corporation
partnership
disregarded entity
corporation
If the LLC is an S corporation, complete Part IX.
If the LLC is a partnership, complete Part X.
30 If the LLC is a disregarded entity, list the name, address and TIN of the single LLC member (owner). If the sole member (owner) is an entity, list its federal
tax classifi cation.
Name
TIN
Address
Federal tax classifi cation
31 If the LLC is a corporation, list the name, address, TIN and the ownership interest (as a percentage) of each LLC member.
Name
TIN
Address
Ownership interest ___________________%
Name
TIN
Address
Ownership interest ___________________%
Name
TIN
Address
Ownership interest ___________________%
If there are more than 3 LLC members, attach a statement listing the required information for the additional LLC members.
Part IX S Corporation Credit Election and Shareholder’s Share of Credit
MM
MM
DD
DD
YYYY
YYYY
32 The S corporation has made an irrevocable election for the taxable year ending ______/______/________ to:
(CHECK ONLY ONE BOX)
Claim the enterprise zone credit as shown on Part VII, line 28, column (d) (for the taxable year mentioned above);
OR
Pass the enterprise zone credit as shown on Part VII, line 28, column (d) (for the taxable year mentioned above) through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholder, complete lines 33 through 35 separately for each shareholder.
Furnish each shareholder with a copy of the completed Form 304.
33 Name of shareholder
34 Shareholder’s TIN
35 Shareholder’s share of the amount on Part VII, line 28, column (d)
ADOR 91-0050 (02)
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