New York State Department of Taxation and Finance
DTF-622
1999 calendar yr. filers, check box
Claim for QETC Capital
Other filers enter tax period:
Tax Credit
beginning
Tax Law – Article 9-A, section 210.12-F
ending
Name
Taxpayer identification number (as shown on page 1 of your tax return)
File this form with Form CT-3 or CT-3-A.
Schedule A – Computation of credit
Part I – Computation of credit for qualified investments to be held four years
A
B
C
Name of certified QETC
Date of investment
Amount of
investment
Attach additional sheets if necessary
1
1 Amount of qualified investments
..................................................................................
(add column C amounts)
2
.10
2 Credit percentage (10%) ..................................................................................................................................
3
3 Credit for qualified investments to be held four years
..................................................
(multiply line 1 by line 2)
4
150,000
4 Limitation ..........................................................................................................................................................
5
5 Credit computed for all preceding tax years, less any recapture of credit
.............................
(see instructions)
6
6 Credit available
.........................................................................................................
(subtract line 5 from line 4)
7 Credit computed for the current tax year
.....................................................
(enter the smaller of line 3 or line 6)
7
Part II – Computation of credit for qualified investments to be held nine years
A
B
C
Name of certified QETC
Date of investment
Amount of
investment
Attach additional sheets if necessary
8
8 Amount of qualified investments
..................................................................................
(add column C amounts)
9
.20
9 Credit percentage (20%) ..................................................................................................................................
10
10 Credit for qualified investments to be held nine years
.................................................
(multiply line 8 by line 9)
11
300,000
11 Limitation ..........................................................................................................................................................
12
12 Credit computed for all preceding tax years, less any recapture of credit
.............................
(see instructions)
13
13 Credit available
......................................................................................................
(subtract line 12 from line 11)
14 Credit computed for the current tax year
..................................................
(enter the smaller of line 10 or line 13)
14