Arizona Form 341 - Credit For Corporate Contributions To School Tuition Organizations For Displaced Students Or Students With Disabilities - 2012 Page 2

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Name:

EIN:

AZ Form 341 (2012)

Page 2 of 2

Part II

Corporate Partner’s Share of Credit

Complete lines 12 through 14 separately for each corporate partner.

Furnish each corporate partner with a copy of pages 1 and 2 of Form 341.

12 Name of corporate partner

13 Corporate partner’s TIN

14 Corporate partner’s share of the amount on Part I, line 11, column (c) ........................................................................... 14

Part III Available Credit Carryover

(a)

(b)

(c)

(d)

Available carryover -

Original credit

Amount

Subtract column (c)

Taxable year

amount

previously used

from column (b)

Total available carryover

Part IV Total Available Credit

21 Current year’s credit. Corporations and S corporations - enter the amount from Part I, line 11, column (c).

Corporate partners of a partnership - enter the amount from Part II, line 14 ..............................................................

22 Available credit carryover - from Part III, line 20, column (d) ......................................................................................

23 Total available credit. Add lines 21 and 22. Enter the amount here and on Form 300, Part I, line 17 ...................

ADOR 10751 (12)