Form 70 - Idaho Statement Of Credit Transfer

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70
IDAHO STATEMENT OF CREDIT TRANSFER
F
O
R
EFO00042
M
Submit this form to the State Tax Commission at least 60 days prior to the date of transfer.
06-09-10
PART I
TRANSFEROR:
Name _________________________________________________________________________
Address _______________________________________________________________________
Social Security Number or EIN _____________________________________________________
Signature of authorized individual ___________________________________________________
Title ____________________________________Phone number __________________________
Date of transfer _________________________________________________________________
PART II
TRANSFEREE:
Name _________________________________________________________________________
Address _______________________________________________________________________
Social Security Number or EIN _____________________________________________________
PART III
BROADBAND EquIPMENT INvESTMENT CREDIT:
Amount to be transferred _________________________________ Tax year(s) earned ___________________
Include a copy of Form 68 for each tax year the credit was earned. Include a copy of the complete list of
property on which the credit was earned and a copy of the approval from the Idaho PUC.
To be completed by the State Tax Commission:
Credit available for transfer ________________________________ Carryover period available_________________
Signed _____________________________________________________ Date _____________________________
INCENTIvE INvESTMENT TAx CREDIT:
Amount to be transferred___________________________
Tax year earned 2001
Include a copy of Form 69 for tax year 2001. Include a copy of the complete list of property on which the credit
was earned.
To be completed by the State Tax Commission:
Credit available for transfer ________________________________ Carryover period available_________________
Signed _____________________________________________________ Date _____________________________
The transferee must include a copy of this form with each income tax return on which the credit is claimed or carried over.
Mail to: INCOME TAX AUDIT
Fax to: INCOME TAX AUDIT
IDAHO STATE TAX COMMISSION
(208) 364-7392
PO BOX 36
BOISE ID 83722-0410

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