Form It-611 - Claim For Brownfield Redevelopment Tax Credit - 2011 Page 3
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4IT-611 (2011) Page 3 of 4
Part 3 — On-site groundwater remediation credit component
A
B
C
Description of groundwater remediation costs
Date costs paid or
Costs
incurred
( mm-dd-yyyy )
17 Total of column C amounts from attached list(s), if any ............................................................. 17.
18 Add column C amounts
................................................................ 18.
( include any amount on line 17 )
19 Applicable percentage rate
............................ 19.
%
( from Applicable percentage table in the instructions )
20 On-site groundwater remediation credit component
.......................... 20.
( multiply line 18 by line 19 )
21 Enter your share of the on-site groundwater remediation credit component
Partner
from your partnership(s ) ............................................................................ 21.
22 Enter your share of the on-site groundwater remediation credit component
S corporation
shareholder
from your S corporation(s) ......................................................................... 22.
23 Enter your share of the on-site groundwater remediation credit component
Beneficiary
from your estate or trust(s) ........................................................................ 23.
24 Total on-site groundwater remediation credit component
( add lines 20 through 23; see instructions )
...................................................... 24.
25 Brownfield redevelopment tax credit
...................................................... 25.
( add lines 8, 16, and 24 )
Fiduciaries — Complete Schedule D.
Individuals — Enter the line 25 amount on line 26.
Schedule C — Partnership, S corporation, estate, and trust information
If you were a partner in a partnership, a shareholder of a New York S corporation, or a beneficiary of an estate or trust and received a share
of the brownfield redevelopment tax credit from that entity, complete the following information for each partnership, New York S corporation,
estate, or trust. For Type, enter P for partnership, S for S corporation, or ET for estate or trust.
Name
Type
Employer ID number
Schedule D — Beneficiary’s and fiduciary’s share of credit components and recapture of credit
A
B
C
D
E
F
Share of site
Share of tangible
Share of on-site
Share of
Beneficiary’s name
Identifying number
groundwater
recapture
preparation credit
property credit
( same as on Form IT-205, Schedule C )
component
component
remediation credit
of credit
component
Total
Fiduciary
1713110094
Please file this original scannable credit form with the Tax Department.
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