Form Cr-Q - Commercial Rent Tax Return - 2004/05 Page 2

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Form CR-Q for the tax period December 1, 2004 to February 28, 2005 ONLY
Page 2
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IF ADDITIONAL SPACE IS REQUIRED FOR SUPPLEMENTS
YOU MAY MAKE PHOTOCOPIES OF THIS PAGE OR ATTACH A SCHEDULE
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EACH LINE MUST BE ACCURATELY COMPLETED
YOUR DEDUCTION WILL BE DISALLOWED IF INACCURATE INFORMATION IS SUBMITTED
LINE
DESCRIPTION
PREMISES 1
PREMISES 2
PREMISES 3
1. Street Address ............................................... 1.
and Zip Code ....................................................... ________________________________________________________________________________
Block and Lot Number ......................................... ________________________________________________________________________________
BLOCK
LOT
BLOCK
LOT
BLOCK
LOT
2. Gross Rent Paid (see instructions) ............... 2.
________________________________________________________________________________
3. Rent Applied to Residential Use.............................. ________________________________________________________________________________
..................................... 4.
________________________________________________________________________________
4. SUBTENANT'S NAME
Employer Identification Number (EIN) for
partnerships or corporations ..........................................
EIN ______________________
EIN _____________________
EIN _____________________
Social Security Number for individuals ..........................
SSN _____________________
SSN _____________________
SSN_____________________
Rent received from SUBTENANT
(see instructions if more than one subtenant)......................... __________________________________________________________________________________________
5a. Other Deductions (attach schedule) ....................... ________________________________________________________________________________
5b. Commercial Revitalization Program
special reduction (see instructions)........................ ________________________________________________________________________________
6. Total Deductions (add lines 3, 4, 5a and 5b) .......... ________________________________________________________________________________
7. Base Rent Before Rent Reduction (line 2 minus line 6) . ________________________________________________________________________________
8. 35% Rent Reduction (35% X line 7)....................... ________________________________________________________________________________
9. Base Rent Subject to Tax (line 7 minus line 8) ....... ________________________________________________________________________________
If the line 7 amount represents rent for less than the full 3 month period, proceed to line 10, or
If the line 7 amount plus the line 5b amount is $62,499 or less and represents rent for the full 3 month period, transfer line 9 to line 13, or
If the line 7 amount plus the line 5b amount is $62,500 or more and represents rent for the full 3 month period, transfer line 9 to line 14
COMPLETE LINES 10, 11 AND 12 ONLY IF YOU RENTED PREMISES FOR LESS THAN THE FULL THREE-MONTH PERIOD
10. Number of Months at Premises during the tax period .
# of months
From:
# of months
From:
# of months
From:
To:
To:
To:
_______________________________________________________________________________________________________
11. Monthly Base Rent before rent reduction
(line 7 plus line 5b divided by line 10) .................... ________________________________________________________________________________
12. Quarterly Base Rent before rent reduction
(line 11 X 3 months)............................................... ________________________________________________________________________________
If the line 12 amount is $62,499 or less, transfer the line 9 amount (not the line 12 amount) to line 13
If the line 12 amount is $62,500 or more, transfer the line 9 amount (not the line 12 amount) to line 14
RATE CLASS
TAX RATE
13. ($0 - 62,499) ................0%
.. ________________________________________________________________________________
(Transfer line total to page 1-line 1)
14. ($62,500 or more)....... 6%
.. ________________________________________________________________________________
(Transfer line total to page 1-line 2)
15. Tax Due before credit
............
__________________________________________________________________________________________
(line 14 multiplied by 6%)
16. Tax Credit
(see worksheet below)
.. ________________________________________________________________________________
(Transfer line total to page 1-line 3)
Note: The tax credit only applies if line 7 plus line 5b (or line 12, if applicable) is at least $62,500, but is less than $75,000. All others enter zero
Tax Credit Computation Worksheet
If the line 7 amount represents rent for the full 3 month period, your credit is calculated as follows:
(
)
Amount on line 15 X
$75,000 minus the sum of lines 7 and 5b
= __________________________ = your credit
$12,500
If the line 7 amount represents rent for less than the full 3 month period, your credit is calculated as follows:
(
)
Amount on line 15 X
$75,000 minus line 12
= _________________________________________ = your credit
$12,500
20420591
CR-Q THIRD QUARTER 2004/05

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