Form It-611.1 - Claim For Brownfield Redevelopment Tax Credit - 2014 Page 2

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Page 2 of 4 IT-611.1 (2014)
Schedule B – Credit components
(see instructions)
Part 1 – Site preparation credit component
(see instructions)
A
B
C
Description of site preparation costs
Date costs paid or
Costs
(see instructions)
incurred
(mm-dd-yyyy; see instr.)
.
00
.
00
.
00
.
1 Total of column C amounts from additional list(s), if any .............................................................
1
00
.
2 Add column C amounts
2
(include any amount from line 1)
...............................................................
00
3 Applicable percentage
3
(see instructions)
........................................................................................
%
.
(multiply line 2 by line 3)
4 Site preparation credit component
...........................................................
4
00
5 Enter your share of the site preparation credit component from your
Partner
.
partnership(s) ............................................................................................
5
00
6 Enter your share of the site preparation credit component from your
S corporation
shareholder
.
6
S corporation(s) ..........................................................................................
00
7 Enter your share of the site preparation credit component from the
Beneficiary
.
estate(s) or trust(s) ....................................................................................
7
00
.
8 Total site preparation credit component
(add lines 4 through 7; see instructions)
8
00
Part 2 – On-site groundwater remediation credit component
(see instructions)
A
B
C
Description of groundwater remediation costs
Date costs paid or
Costs
(see instructions)
incurred
(mm-dd-yyyy; see instr.)
.
00
.
00
.
00
.
9 Total of column C amounts from additional list(s), if any..............................................................
9
00
.
10 Add column C amounts
................................................................. 10
(include any amount from line 9)
00
11 Applicable percentage
........................................................................................ 11
(see instructions)
%
.
12 On-site groundwater remediation credit component
............................. 12
(multiply line 10 by line 11)
00
13 Enter your share of the on-site groundwater remediation credit component
Partner
.
13
from your partnership(s ) .............................................................................
00
14 Enter your share of the on-site groundwater remediation credit component
S corporation
.
shareholder
14
from your S corporation(s) ..........................................................................
00
15 Enter your share of the on-site groundwater remediation credit component
Beneficiary
.
15
from the estate(s) or trust(s) .......................................................................
00
16 Total on-site groundwater remediation credit component
.
(add lines 12 through 15; see instructions)
16
........................................................
00
170002140094

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