Form 526-A - Rural Small Business Capital Company Report For Investors - 2010
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3Barcode Placement
State of Oklahoma
Rural Small Business Capital Company
526-A
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Report for Investors
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The Rural Small Business Capital Company must file Form 526 before this credit will be allowed.
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A copy of this form must be enclosed with the investor’s income tax return if the credit is claimed.
This form must be furnished to the investor by January 31st. See instructions for further information.
Identification Number ______________________________
Identification Number ____________________________
Name of Investor _________________________________
Name of Rural Small Business Capital Company:
Address _________________________________________
______________________________________________
City _______________________ State _____ Zip _______
Address _______________________________________
City ____________________ State _____ Zip ________
See Tax Credit Moratorium on page 2.
Telephone Number ______________________________
Part 1:
Establishing the Rural Small Business Capital Credit
(4)
(1)
(2)
(3)
Date
Total Investment in,
Credit Allowable
of
or in conjunction with, the Rural
Total Credit Available
in 2010 for investments
Investment
Small Business Capital Company
(Column 2 x 30%)
made prior to June 1, 2010
Total Credit Allowable in 2010
Carry the credit claimed this year to Form 511CR. If the entire credit is not being claimed this year, complete Part 2 for the subsequent carryover years.
Under penalties of perjury, I declare that I have examined this return, including accompanying statements, and to the best of my knowledge and belief
it is true, accurate and complete.
Officer, General Partner or Member of the Rural Small Business Capital Company: ______________________________________ Date: ___________
Part 2:
2010 Credit Carryover
1.
Total credit allowable in 2010 ............................................................................... 1.
2.
Credits used in prior years:
Year
Amount
2010
(a)
$
(b)
2011
$
(c)
2012
$
Total credits used prior to this year . ......................................................... 2.
3.
Unused credit available (line 1 less line 2) ........................................................... 3.
4.
Credit claimed this year, _____ (carry to Form 511CR) ...................................... 4.
5.
Unused balance carryover (line 3 less line 4) (three year carryover limit) . ........... 5.
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