ARIZONA FORM
334
2012
Motion Picture Credits
For the calendar year 2012 or
M M D D Y Y Y Y
M M D D Y Y Y Y
fi scal year beginning
and ending
.
Attach this completed form and your Commerce postapproval document 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
Individual who Will Maintain Records of Expenditures in Arizona
Name
Current Address - number and street
Phone Number (with area code)
City, Town or Post Office
State
ZIP Code
Part II
Listing of Postapproved Productions
Motion Picture Production Companies, complete this section.
• List completed productions for which you have received Commerce postapproval.
• If you have more than two completed productions, attach additional schedules. See instructions.
(a)
(b)
Commerce Postapproval Information
(a)1
(a)2
(a)3
Allocation Year
Postapproval Date
Postapproval Number
Approved Credit Amount
YYYY
YYYY
M M D D Y Y Y Y
.00
1
YYYY
YYYY
M M D D Y Y Y Y
.00
2
.00
3
Aggregate total from all additional schedules .....................................................................................
.00
4
TOTAL: Add lines 1 through 3 ...........................................................................................................
Part III
S Corporation Credit Election and Shareholder’s Share of Credit
Y Y Y Y
5 The S Corporation has made an irrevocable election for the allocation year
to
(check only one box):
Claim the credit for motion picture production costs as shown on Part II, line 4 (for the allocation year mentioned above);
OR
Pass the credit for motion picture production costs as shown on Part II, line 4 (for the allocation year mentioned above)
through to its shareholders.
Signature
Title
Date
• If passing the credit through to the shareholders, complete lines 6 through 8 separately for each shareholder.
• Furnish each shareholder with a copy pages 1 and 2 of Form 334.
• Provide each shareholder with a copy of the postapproval document from Commerce.
6 Name of shareholder:
7 Shareholder’s TIN:
00
8 Shareholder’s share of the available credit for motion picture production costs from Part II, line 4 ..................................
8
Continued on page 2
ADOR 10709 (12)