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CLEAR
IT-RHC 2017
Rehabilitated Historic Tax Credit
(Rev. 03/14/16)
STATE OF GEORGIA
DEPARTMENT OF REVENUE
Attach to your income tax return
TAXPAYER SERVICES DIVISION
This form is to be used for certified rehabilitations completed on or after January 1, 2017.
Name
Street and Number
City or Town
County
State
Zip Code
Federal Employer I.D. No.
Taxpayer's S.S. Number
Spouse's S.S. Number
A separate form must be filled out for each certified structure.
Project Completion Date (line 2d. from your Part B - Final Certification)______________
Part A - Historic Home (including the portion of a certified structure that is used as historic home)
You must attach Georgia Department of Natural Resources Part B - Final Certification, the property tax bill for the
year immediately prior to the beginning of the 24 month (or 60 month) period, and the property tax bill for the year
immediately after the beginning of the 24 month (or 60 month) period to claim the historic rehabilitation tax credit for
a historic home.
Determination of Substantial Rehabilitation
1. Amount of the qualified rehabilitation expenditures (line 2e. II.
from your Part B - Final Certification)
___________
2. Fair market value as determined by the county tax assessor at
the beginning of the 24 month (or 60 month) rehabilitation period
(line 3e. from your Part B - Certification)
______________
3. Percentage limitation
50%
4. Multiply line 2 by line 3
______________
5. Dollar limitation
$25,000
6. Enter the lesser of line 4 or line 5
___________
7. Subtract line 6 from line 1, if zero or less, STOP, you have not completed a
substantial rehabilitation and are not eligible for this portion of the credit
___________
Amount of the Credit
_____________
8. Amount from Line 1
9. Credit limitation
25%
_____________
10. Multiply line 8 by line 9