Credit For Rehabilitation Of Historic Properties Worksheet For Tax Year 2013

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CREDIT FOR REHABILITATION OF HISTORIC PROPERTIES
WORKSHEET FOR TAX YEAR 2013
36 M.R.S.A. §§ 5219-BB
NOTE: A separate worksheet must be completed for each certifi ed rehabilitation.
Read the instructions before completing this worksheet.
________________________________________
__________________
TAXPAYER NAME:
EIN/SSN:
______________________________
Enter beginning and ending dates of the tax year to which this worksheet relates:
Note:
Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.) incurring qualifi ed rehabilitation expenditures,
see instructions. Enter name and ID number of the entity on the lines below. Also enter your ownership percentage in the pass-
through entity for the tax year.
YOUR
OWNERSHIP
NAME OF PASS-THROUGH ENTITY
EIN/SSN
PERCENTAGE
_______________________________________________
_______________________
________ %
Check the boxes that apply:
A.  Check this box if the credit is for a rehabilitation for which a federal credit is claimed. Attach a copy of Part 3 of the
historic preservation certifi cation application approved and signed by the National Park Service. If you do not have a
signed Part 3, submit a copy of Part 2 approved by the National Park Service. Also, attach a copy of federal Form 3468.
B.  Check this box if the credit is for a small rehabilitation (qualifi ed expenditures $50,000 to $250,000) for which no federal
credit is claimed. Attach a copy of Part 3 of the small project rehabilitation certifi cation application approved and
signed by the Maine Historic Preservation Commission. If you do not have a signed Part 3, submit a copy of Part 2
approved by the Maine Historic Preservation Commission.
Note:
Attach a copy of the reporting form(s) (both Parts A and B) signed by the Maine Historic Preservation Commission.
If you have not received a signed Part 3 from either the National Park Service or the Maine Historic Preservation Commission
(whichever applies), but you have received a signed Part 2, attach a copy of Part A of the reporting form. You do not qualify
for the credit unless the appropriate copies are attached.
C.   C heck if credit is for a rehabilitation for which an affordable housing certifi cate has been received from the
Maine State Housing Authority. Attach copy of certifi cate.
PART A: Credit for Rehabilitation of historic properties - 36 M.R.S.A. § 5219-BB - for rehabilitation expenditures
incurred with respect to a certifi ed historic structure placed in service in Maine during tax year 2013.
1. Certifi ed qualifi ed rehabilitation expenditures. See instructions before completing this line ...............1. ________________
2. Enter credit percentage. If box C above is checked, enter .30. Otherwise, enter .25 ....................... 2. ________________
3. Credit prior to limitations. Multiply line 1 by line 2. .............................................................................3. ________________
$5,000,000
4. Maximum credit for this certifi ed rehabilitation ......................................................................................4. ________________
5. Enter line 3 or line 4, whichever is less. ................................................................................................5. ________________
6. Refundable credit available for this tax year for this certifi ed rehabilitation. Multiply line 5 by
25% (.25). Enter result here and on Form 1120ME, line 8e, Form 1120B, line 4e, Form
1040ME, Schedule A, line 1, or Form 1041ME, line 7a.........................................................................6. ________________
7. Amount of refundable credit available for this certifi ed rehabilitation for the next 3 tax years:
2nd tax year: Enter 25% (.25) of line 5 .................................................................
7a. ________________
3rd tax year:
Enter 25% (.25) of line 5 .................................................................
7b. ________________
4th tax year:
Enter 25% (.25) of line 5 .................................................................
7c. ________________
Rev. 12/13
1

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