2012
ARIZONA FORM
Credit for Solar Hot Water Heater Plumbing Stub Outs and
319
Electric Vehicle Recharge Outlets
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 to your return.
Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Social security or employer identifi cation number
The houses or dwelling units in which the qualifying installations are made by the builder/taxpayer must be located in Arizona. The credit is in lieu of a
deduction for the expenses of installing the solar hot water heater plumbing stub outs and electric vehicle recharge outlets for which the credit is claimed.
Part I
Current Taxable Year’s Credit Calculation for Taxpayer That Built the House or Dwelling Unit
1 Total allowable credit - from attached Form(s) 319-1, column (h) ....................................................................................
1
00
2 Total amount of credit transferred to purchasers or transferees - from attached Form(s) 319-2, column (c) ...................
2
00
3 Current taxable year’s credit - subtract line 2 from line 1 .................................................................................................
3
00
Part II
Current Taxable Year’s Credit for Purchaser or Transferee of the House or Dwelling Unit
4 Total allowable credit - from attached copy of written statement provided by the builder of the house or dwelling unit ...
4
00
Part III S Corporation Credit Elections and Shareholder’s Share of Credit
5 The S corporation has made an irrevocable election for the taxable year ending
MM DD YYYY
MM DD YYYY
to:
(CHECK ONLY ONE BOX)
Claim the credit for solar hot water heater plumbing stub outs and electric vehicle recharge outlets as shown on Part I, line 3
(for the taxable year mentioned above);
OR
Pass the credit for solar hot water heater plumbing stub outs and electric vehicle recharge outlets as shown on Part I, line 3
(for the taxable year mentioned above) through to its shareholders.
Signature
Title
Date
MM DD YYYY
MM DD YYYY
6 The S corporation has made an irrevocable election for the taxable year ending
to:
(CHECK ONLY ONE BOX)
Claim the credit for solar hot water heater plumbing stub outs and electric vehicle recharge outlets as shown on Part II, line 4
(for the taxable year mentioned above);
OR
Pass the credit for solar hot water heater plumbing stub outs and electric vehicle recharge outlets as shown on Part II, line 4
(for the taxable year mentioned above) through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholders, complete lines 7 through 10 separately for each shareholder.
Furnish each shareholder with a copy of pages 1, 2 and 3 of Form 319.
7 Name of shareholder
8 Shareholder’s TIN
9 Shareholder’s share of the amount on Part I, line 3 ........................................................................................................
9
00
10 Shareholder’s share of the amount on Part II, line 4 ....................................................................................................... 10
00
ADOR 10943 (12)