Form It-212-Att - Claim For Historic Barn Rehabilitation Credit And Employment Incentive Credit - 2014

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IT-212-ATT
New York State Department of Taxation and Finance
Claim for Historic Barn Rehabilitation Credit
And Employment Incentive Credit
Name(s) as shown on return
Identifying number as shown on return
Use this form to claim an investment credit for qualified expenditures in the rehabilitation of a
historic barn, or to claim the employment incentive credit. Submit this form with Form IT-212.
Schedule A – Historic barn rehabilitation credit
Part 1 – Eligibility criteria for claiming this credit
(see instructions, Form IT-212-ATT-I, for assistance)
Complete questions 1 through 10 to determine if you are eligible to claim this credit. If you mark an X in
the Yes box on line 1 or 6, or the No box on line 5, 9, or 10, stop; you cannot claim this credit.
Yes
No
1 Has the barn been converted to residential use?
.....................................
(If you mark Yes, stop; you cannot claim this credit.)
Yes
No
2 Is the barn listed in the National Register of Historic Places?
....................................................................
(see instructions)
If Yes, the barn’s rehabilitation must be certified by the federal Secretary of Interior or the New York State
Office of Parks, Recreation and Historic Preservation. Submit a copy of the certification
(see TSB-M-97(1)I).
Yes
No
3 If you answered No to question 2, is the barn located in a registered historic district? .......................................................
4 If you answered Yes to question 3, is the barn of historic significance to the district? ..........................................................
Yes
No
If Yes, the barn must be a certified historic structure, and the barn’s rehabilitation must be certified by the federal
Secretary of Interior or the New York State Office of Parks, Recreation and Historic Preservation. Submit a copy of the
certification. If No, submit documentation from the Office of Parks, Recreation and Historic Preservation stating
the barn is of no historic significance to the district
.
(see TSB-M-97(1)I)
5 If you answered No to questions 2 and 3, was the barn originally designed and used for storing farm equipment or
agricultural products or for housing livestock, and was the barn first placed into service before 1936? .........................
Yes
No
(If you mark No, stop; you cannot claim this credit.)
6 Has the historic appearance of the barn been materially altered?
............
Yes
No
(If you mark Yes, stop; you cannot claim this credit.)
If No, submit a copy of the letter from the New York State Office of Parks, Recreation and Historic Preservation
stating that the historic appearance of the barn has not been materially altered
(see TSB-M-97(1)I).
7 Describe the measurement period used to determine whether the barn has been substantially rehabilitated
See instructions.
(
)
8 What is the adjusted basis of the barn as of the first day of the measurement period?.........................
.
8
00
9 Do the expenditures incurred during the measurement period to rehabilitate the barn exceed the higher
Yes
No
of the amount shown in question 8 or $5,000?
.........................................
(If you mark No, stop; you cannot claim this credit.)
10 Did you use the straight-line method of depreciation over a recovery period specified in either section 168(c)
Yes
No
or section 168(g) of the Internal Revenue Code (IRC), whichever is applicable to you? .................................................
(If you mark No, stop; you cannot claim this credit.)
Part 2 – Investments in qualified rehabilitation expenditures
Date rehabilitation work was begun
Date rehabilitation work was completed
(mm-dd-yyyy)
(mm-dd-yyyy)
A
B
C
D
E
Description of rehabilitation expenditures
Date of
Property’s useful
Amount of
Rehabilitation credit
expenditure(s)
life
expenditures
(submit additional sheets if necessary)
(years)
(column D × 25%)
.
.
00
00
.
.
00
00
.
.
00
00
.
11 Add column E amounts
.................................................................
11
00
(enter here and on Form IT-212, line 23)
(continued on back)
242001140094

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