Arizona Form 346 - Additional Credit For Increased Research Activities For Basic Research Payments - 2012

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Additional Credit for Increased Research

ARIZONA FORM

346

2012

Activities for Basic Research Payments

M M D D Y Y Y Y

For the calendar year 2012, or fiscal year beginning

and ending

Attach to your return.

Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165

Social security or employer identification number

Part I

Qualification for Additional Credit

1 Did you receive a Letter of Approval from the Arizona Department of Revenue? .............................

Yes

If “Yes”, attach a copy. If “No”, skip line 2.

2 Enter the credit amount on the Letter of Approval from the Arizona Department of Revenue for this taxable year ..........

3 Did an entity from which you are claiming a pass through additional credit for increased research

activities for basic research payments receive a Letter of Approval from the Arizona Department of

Revenue? If “Yes”, attach a copy. If “No”, skip line 4 and line 5 ........................................................

Yes

4 Enter the name of the entity that received the Letter of Approval from the Arizona Department of Revenue

and its identification number. Be sure to attach a copy of the Letter of Approval.

Name:

TIN:

5 Enter your share of the credit amount on the Letter of Approval from the Arizona Department of Revenue for

this taxable year. See instructions ....................................................................................................................................

Part II

Current Taxable Year’s Credit Calculation

6 Basic research payments paid to qualified organizations. See instructions ........................

7 Qualified organization base period amount ..........................................................................

8 Subtract line 7 from line 6. If less than zero, enter zero ...................................................................................................

9 Multiply line 8 by 10% (.10). Enter the result. Cannot exceed the amount on line 2 ........................................................

Part III

Current Taxable Year’s Credit Passed Through From Partnerships and S Corporations

10 Total amount of credit passed through from partnerships and S corporations. Cannot exceed the amount on line 5.

Attach copies of Form(s) 346 to your tax return ................................................................................................................

11 Total Credit. Add line 9 and line 10. Enter the total. This is your current year’s additional credit for increased

research activities for basic research payments ..........................................................................................................

Part IV

S Corporation Credit Election and Shareholder’s Share of Credit

M M D D Y Y Y Y

12 The S Corporation has made an irrevocable election for the taxable year ending

(check only one box):

Claim the additional credit for increased research activities for basic research payments as shown on Part III, line 11 (for the taxable year

mentioned above);

Pass the additional credit for increased research activities for basic research payments as shown on Part III, line 11 (for the taxable year

mentioned above) through to its shareholders.

Signature

Title

Date

• If passing the credit through to the shareholders, complete lines 13 through 15 separately for each shareholder.

• Also complete line 16 or line 17, as applicable, separately for each shareholder. Provide a copy of the Letter of Approval to each shareholder.

• Furnish each shareholder with a copy pages 1 and 2 of Form 346.

13 Name of shareholder:

14 Shareholder’s TIN:

15 Shareholder’s share of the amount on Part III, line 11 .......................................................................................................

16 Shareholder’s share of the amount on Part I, line 2 ..........................................................................................................

17 Shareholder’s share of the amount on Part I, line 5 ..........................................................................................................

Continued on page 2

ADOR 11165 (12)