California Form 3806 - Los Angeles Revitalization Zone Deduction And Credit Summary - 2013

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Los Angeles Revitalization Zone

CALIFORNIA FORM

TAXABLE YEAR

3806

2013

Deduction and Credit Summary

Attach to your California tax return.

SSN or ITIN or California corporation number

Name(s) as shown on return

FEIN

California Secretary of State (SOS) file number

A. Check the appropriate box for your entity type:



Individual

Estate

Trust

C corporation

S corporation

Partnership



Exempt organization

Limited liability company

Limited liability partnership

B. Enter the name of the Los Angeles Revitalization Zone (LARZ) business: ____________________________________________________________

C. Enter the address (actual location) where the LARZ business is conducted:

_____________________________________________________________________________________________________________________

D. Enter the name of the community within the former LARZ in which the business and/or investment activity is located .

_____________________________________________________________________________________________________________________

E. Enter the six-digit Principal Business Activity Code number of the LARZ Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_________________

F. Gross annual receipts of the business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_________________

G. Total asset value of the business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_________________

Part I Credit Carryovers Used (Complete Schedule Z on Side 2 before you complete this part .)

1 Hiring and sales or use tax credit carryovers claimed on the current year return:

a Construction hiring credit carryover from Schedule Z, line 8A, column (f) or line 11, column (c) . . . . . . . . . . . . . . . . . . . .1a _________________

b General hiring credit carryover from Schedule Z, line 9A, column (f) or line 12, column (c) . . . . . . . . . . . . . . . . . . . . . . . .1b _________________

c Sales or use tax credit carryover from Schedule Z, line 10A, column (f) or line 13, column (c) . . . . . . . . . . . . . . . . . . . . . .1c _________________



d Add line 1a, line 1b, and line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1d _________________

Part II Portion of Business Attributable to the Former LARZ

2 Enter the average apportionment percentage of your business that is in the former LARZ from Worksheet II, Section A,

line 4 . If your operation is wholly within the former LARZ, the average apportionment percentage is 100% (1 .00) . . . . . . . . 2 _________________

Part III Net Operating Loss (NOL) Carryover and Deduction

3 a Enter the total LARZ NOL carryover from prior years from Worksheet III, line 15, column (b) . . . . . . . . . . . . . . . . . . . . . 3a _________________

b Enter the total LARZ NOL carryover deduction used in the current year from Worksheet III, line 15, column (c) .

Enter this amount on Schedule CA (540 or 540NR), line 21e, column B; Form 100, line 21; Form 100W, line 21;

Form 100S, line 19; or Form 109, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b _________________

c Enter the LARZ NOL to carry over to future years from Worksheet III, line 15, column (e) . . . . . . . . . . . . . . . . . . . . . . . . 3c _________________

FTB 3806 2013 Side 1

7551133