Quality Child-Care Investment Tax Credit Worksheet

Quality Child-Care Investment Tax Credit Worksheet - 2004

2004

QUALITY CHILD-CARE INVESTMENT

TAX CREDIT WORKSHEET

36 M.R.S.A. § 5219-Q

TAXPAYER NAME: _________________________________________ EIN/SSN: ___________________

Note: Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.)

making an eligible investment, see instructions. Also, please provide name and ID number of the pass-

through entity on the lines below.

NAME OF PASS-THROUGH ENTITY

EIN/SSN

_____________________________________________________________

___________________

Type of Entity: (Please check one)

Partnership

Sole Proprietor

C corporation

S corporation

LLC

Trust

1. 2004 Quality child-care investments certified by the Department of Health and Human

Services, Office of Child Care and Head Start. Attach a copy of the certificate ................... 1. ____________

Note: S corporation shareholders, partners, LLC members, trusts and trust beneficiaries:

Enter on line 1 the total certified investment of the pass-through entity, then go to

line 2 to calculate your percentage share.

2. C corporations: Enter amount on line 1 or $30,000, whichever is less.

S corporation shareholders, partners, LLC members, trusts and trust beneficiaries:

Enter an amount equal to line 1 multiplied by your percentage interest in the pass-through

entity (or $30,000, whichever is less) . Your percentage interest: _________ % ............. 2. ____________

3. C corporations, S corporations shareholders, partners, LLC members, trusts and trust

beneficiaries: Mulitply line 2 x by 30% (.30) (Do not enter more than $9,000).

Sole-proprietors: Enter $1,000 if line 1 is at least $10,000 ................................................ 3. ____________

4. Credit carried over from previous tax years. See instructions ....................................... 4. ____________

5. Total credit available this year (line 3 plus line 4). Corporate taxpayers, enter on Form

1120ME, Schedule C, line 29c. Individual taxpayers, enter on Form 1040ME, Schedule

A, line 18 ........................................................................................................................ 5. ____________

Rev. 01/05

Quality Child-Care Investment Tax Credit Worksheet - 2004