Form 332 Draft - Credit For Healthy Forest Enterprises

Name:

TIN:

AZ Form 332 (2009)

Page 2 of 3

Part VI Credit Recapture

15 Taxable year in which the certiﬁ cation of the business as a Healthy Forest Enterprise was revoked or terminated .................

16 First taxable year in which the Credit for Healthy Forest Enterprises was allowed ...................................................................

17 Number of years between when the credit was ﬁ rst allowed and when the certiﬁ cation was revoked or terminated ................

18 Enter percent based on the number of years entered on line 17 - see instructions ..................................................................

19 Full amount of all credits previously allowed .............................................................................................................................

20 Total recapture of Credit for Healthy Forest Enterprises. Multiply line 19 by the percentage on line 18...................................

Part VII S Corporation Credit Election and Shareholder’s Share of Credit and Credit Recapture

21 The S Corporation has made an irrevocable election for the taxable year ending ______/______/________ to:

YYYY

(CHECK ONLY ONE BOX)

Claim the credit for healthy forest enterprises, as shown on Part V, line 14, column (d) (for the taxable year mentioned above);

Pass the credit for healthy forest enterprises, as shown on Part V, line 14, column (d) (for the taxable year mentioned above) through to its shareholders.

Signature

Title

Date

If passing the credit through to the shareholders, complete lines 22 through 24 separately for each shareholder.

If passing credit recapture through to the shareholders, also complete line 25 separately for each shareholder.

Furnish each shareholder with a copy of the completed Form 332.

22 Name of shareholder

23 Shareholder’s TIN

24 Shareholder’s share of amount on Part V, line 14, column (d) .................................................................................................

25 Shareholder’s share of the credit recapture from Part VI, line 20 ..............................................................................................

Part VIII Partner’s Share of Credit and Credit Recapture

Complete lines 26 through 28 separately for each partner.

If passing credit recapture through to the partners, also complete line 29 separately for each partner.

Furnish each partner with a copy of the completed Form 332.

26 Name of partner

27 Partner’s TIN

28 Partner’s share of amount on Part V, line 14, column (d) .........................................................................................................

29 Partner’s share of the credit recapture from Part VI, line 20 ......................................................................................................

ADOR 91-5497 (09)

DRAFT 09-14-09

Form 332 Draft - Credit For Healthy Forest Enterprises - 2009 Page 2

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