Form Dtf-630 - Claim For Green Building Credit - 2011 Page 2

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DTF-630 (2011) (back)
Part 4 — Beneficiary’s and fiduciary’s share of green building credit
A
B
C
Beneficiary’s name (same as
Identifying number
Share of credit
on Form IT-205, Schedule C)
Total
)
( fiduciaries, enter the amount from Part 1, or the amount from Part 2, line 7
Fiduciary
6302110094
Please file this original scannable
47002110094
credit form with the Tax Department.

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