Form 0405-330 - Tax Credits For Certain Losses And Expenditures - Alaska Department Of Revenue Page 11

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Alaska Department of Revenue
Alaska Oil and Gas Production Tax Credit
Tax Division
Use of Transfer Credits
550 W 7th Ave Ste 500
Anchorage AK 99501-3566
Schedule D
Phone 907.269.6620
AS 43.55.023(e)
Fax 907.269.6644
This form is available online at
DEPT USE ONLY
APP ID
A. Producer or Explorer Name
Federal EIN
Tax Year Ending
0
-
B. Producer or Explorer Tax Credit Acquired from a Transferable Tax Credit Certificate under AS 43.55.023(e)
Credit Certificate Number *
1.
Enter amount available on credit certificate …………………………………………………………
2.
Enter tax credit certificate amount applied this tax year …………………………………………
3.
Enter total tax due under AS 43.55.011(e) for the calendar year …………………………………
4. Enter 20% of the amount on line (3), the credit is limited to this amount ………………………
$
-
5. Enter the smaller of line (2) or line (4), current year tax credit under AS 43.55.023(e) ………
$
-
6. Unused credit carry-forward, line (1) minus line (5) ………………………………………………
$
-
*If the Tax Certificate Number has a "B" after the year of issue, which indicates that it is second half of the total credit,
please identify the calendar year that the first half of the credit certificate, part "A", was used………….
Credit Certificate Number *
1.
Enter amount available on credit certificate …………………………………………………………
2.
Enter tax credit certificate amount applied this tax year …………………………………………
3.
Enter total tax due under AS 43.55.011(e) for the calendar year …………………………………
4. Enter 20% of the amount on line (3), the credit is limited to this amount ………………………
$
-
5. Enter the smaller of line (2) or line (4), current year tax credit under AS 43.55.023(e) ………
$
-
6. Unused credit carry-forward, line (1) minus line (5) ………………………………………………
$
-
*If the Tax Certificate Number has a "B" after the year of issue, which indicates that it is second half of the total credit,
please identify the calendar year that the first half of the credit certificate, part "A", was used………….
Credit Certificate Number *
1.
Enter amount available on credit certificate …………………………………………………………
2.
Enter tax credit certificate amount applied this tax year …………………………………………
3.
Enter total tax due under AS 43.55.011(e) for the calendar year …………………………………
4. Enter 20% of the amount on line (3), the credit is limited to this amount ………………………
$
-
5. Enter the smaller of line (2) or line (4), current year tax credit under AS 43.55.023(e) ………
$
-
6. Unused credit carry-forward, line (1) minus line (5) ………………………………………………
$
-
*If the Tax Certificate Number has a "B" after the year of issue, which indicates that it is second half of the total credit,
please identify the calendar year that the first half of the credit certificate, part "A", was used………….
Total unused credit carryover from all credit certificates ……………………………………
$
-
Carry total credit claimed to Line F (4) of Tax Credit Summary Form (0405-330.1)
Would you like the Department to issue a new certificate number for the unused carryover?
Yes
No
Form 0405-330.9 (rev 03/09 • page 9

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