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Form 480.71.1 - Informative Return For Tax Credits Holders - Puerto Rico Department Of The Treasury

Commonwealth of Puerto Rico

Serial Number

Form 480.71.1

Rev. Jul 24 13

Department of the Treasury

INFORMATIVE RETURN FOR TAX CREDITS HOLDERS

Amended Return

Receipt Stamp

PART I - HOLDER’S INFORMATION

Name

Social Security or Employer Identification Number

Physical address (Urbanization or Building, Number or Apartment, Street, City, Country, Zip Code)

Postal address (Post Office Box, Urbanization or Building, Number or Apartment, Street, City, Country, Zip Code)

Fax

Telephone

E-mail address

PART II - DETAIL OF THE CREDIT(S)

1. Complete the following information regarding the tax credits that you hold:

(E)

(A)

(B)

(C)

(D)

Amount of credit claimed or sold

Amount of credit available

If you did not claim the credit in previous

Check the act under which the credit is

Total credit granted

in previous years and that was

for subsequent taxable

years or on the 2012 Return, or only claimed

granted

a portion, indicate when will you claim the

claimed or will be claimed on

years

the 2012 Return

(Column B less Column C)

difference or if you will sell the same

No. 70 of June 23, 1978 – Solid Waste

Authority

159-2011 - Solid Waste

46-2000 - Capital Investment Fund

98-2001 - Housing Infrastructure

Investment

183-2001 - Conservation Easement

78-1993 - Tourism

74-2010 - Tourism Development

140-2001 - Construction or Rehabilitation

of Social Interest Housing

212-2002 - Urban Centers

Revitalization

362-1999 - Credits to Develop the Film

Industry

27-2011 - Economic Incentives for

P.R. Film Industry

135-1997 (Section 5(b)) - Credit for

Purchase of Products Manufactured

in P.R.

109-2001 (Section 5A of Act 135-1997)

178-2000 - Theatrical District of

Santurce

73-2008 - Economic Incentives for the

Development of P.R. (Sections 5 and 6)

Section 1051.09 of the Internal Revenue

Code

Section 1051.07 of the Internal Revenue

Code

Section 1052.03 of the Internal Revenue

Code

Section 1052.04 of the Internal

Revenue Code

Section 4050.10 of the Internal

Revenue Code

Other Credits Approved

2. Totals (Add lines 1(a) through 1(u))

OATH

I hereby declare under penalty of perjury that this return has been examined by me, and to the best of my knowledge and belief, all the information provided herein is true, correct and complete.

_______________________________________

_________________________________________

__________________________________________

________________________________

Name (Print)

Signature

Title

Date

Retention: Six (6) years or an intervention from the Comptroller, whichever occurs first.

Form 480.71.1 - Informative Return For Tax Credits Holders - Puerto Rico Department Of The Treasury

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