Arizona Form 301 - Nonrefundable Individual Tax Credits And Recapture - 2012 Page 2

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Your Name (as shown on page 1)

Your Social Security Number

Part II Application of Tax Credits and Recapture

Enter tax, recapture tax, and tax credits claimed this taxable year.

31 Tax from Form 140, line 19; or Form 140PY, line 22; or Form 140NR, line 22; or Form 140X, line 26 ..........................

32 Tax from recapture of Environmental Technology Facility Credit from

Form 305, Part V, line 23 .........................................................................................................

33 Tax from recapture of Credit for Healthy Forest Enterprises from

Form 332, Part XI, line 53, and Part XII, line 59 ......................................................................

34 Tax from recapture of Credit for Renewable Energy Industry from

Form 342, Part V, line 17 .........................................................................................................

35 Recapture Total: Add lines 32, 33 and 34. Enter here and on

Form 140, line 20; or Form 140PY, line 23; or Form 140NR, line 23; or Form 140X, line 27 ........................................

36 Subtotal: Add lines 31 and 35 ........................................................................................................................................

37 Family Income Tax Credit from Form 140, line 22; or Form 140PY, line 25; or Form 140X, line 29 ...............................

38 Subtract line 37 from line 36 ...........................................................................................................................................

Nonrefundable Tax Credits Claimed

Enter amount of credits actually claimed from Part I.

39 Enterprise Zone Credit ......................................................................................... Form 304 ►

40 Environmental Technology Facility Credit (not to exceed 75% of line 36) ........... Form 305 ►

41 Military Reuse Zone Credit .................................................................................. Form 306 ►

42 Recycling Equipment Credit (not to exceed the lesser of 25% of

line 36 or $5,000) ................................................................................................. Form 307 ►

43 Credit for Increased Research Activities – Individuals .......................................Form 308-I ►

44 Credit for Taxes Paid to Another State or Country ............................................... Form 309 ►

45 Credit for Solar Energy Devices .......................................................................... Form 310 ►

46 Agricultural Water Conservation System Credit ................................................... Form 312 ►

47 Pollution Control Credit ....................................................................................... Form 315 ►

48 Credit for Solar Hot Water Heater Plumbing Stub Outs and

Electric Vehicle Recharge Outlets ....................................................................... Form 319 ►

49 Credit for Employment of TANF Recipients ......................................................... Form 320 ►

50 Credit for Contributions to Charities That Provide Assistance

to the Working Poor ............................................................................................. Form 321 ►

51 Credit for Contributions Made or Fees Paid to Public Schools ............................ Form 322 ►

52 Credit for Contributions to Private School Tuition Organizations ......................... Form 323 ►

53 Agricultural Pollution Control Equipment Credit ................................................... Form 325 ►

54 Credit for Donation of School Site ....................................................................... Form 331 ►

55 Credits for Healthy Forest Enterprises ................................................................. Form 332 ►

56 Credit for Employing National Guard Members ................................................... Form 333 ►

57 Motion Picture Credits ......................................................................................... Form 334 ►

58 Credit for Solar Energy Devices – Commercial and Industrial Applications ........ Form 336 ►

59 Credit for Investment in Qualified Small Businesses ........................................... Form 338 ►

60 Credit for Water Conservation Systems ............................................................... Form 339 ►

61 Credit for Donations to the Military Family Relief Fund: Enter the smaller of

the amount entered on line 23 or line 36 ............................................................. Form 340 ►

62 Renewable Energy Production Tax Credit ........................................................... Form 343 ►

63 Solar Liquid Fuel Credit ....................................................................................... Form 344 ►

64 Credit for New Employment ................................................................................. Form 345 ►

65 Additional Credit for Increased Research Activities for

Basic Research Payments ................................................................................... Form 346 ►

66 Credit for Qualified Health Insurance Plans ......................................................... Form 347 ►

67 Credit for Contributions to Certified School Tuition Organization ........................ Form 348 ►

68 Total Tax Credits Claimed: Add lines 39 through 67. Total cannot be more than line 38.

Enter this amount on Form 140, line 23; or Form 140PY, line 26;

or Form 140NR, line 25; or Form 140X, line 30 ..............................................................................................................

Print Form

ADOR 10127 (12)

AZ Form 301 (2012)

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