Schedule Rc-C (Form 41a720rc-C) - Schedule Rc - Part I Continuation

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SCHEDULE RC-C
Page _______
*1200020234*
41A720RC-C (10-12)
of _________
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
For equipment purchased (installed)
S
RC—P
I
CHEDULE
ART
during tax year beginning _______________ , ______ ,
C
ONTINUATION
and ending _______________ , ______ .
Name of Entity
Kentucky Corporation/
Federal Identification Number
LLET Account Number
(if applicable)
___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___ ___ ___
A
B
C
D
E
F
G
Date of
For Department of
Equipment
Date of
Installation
Revenue Use Only
Type of
Purchase
Installation
Location
Purchase
(Mo., Day, Yr.)
Equipment
Price
Cost
Approved Amounts
(City in Kentucky)
(Mo., Day, Yr.)
(see
from Col. E and F
Schedule RC
instructions)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
00
00
00
Identify the Equipment and Use (see instructions for Schedule RC)
Page Total
00

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