Credit for Renewable Energy Investment and Production for Self-
Arizona Form
2015
Consumption by Manufacturers and International Operations Centers –
351-S
Distribution to Shareholders
For the calendar year 2015 or fiscal year beginning
2 0 1 5 and ending
.
M M D D
M M D D
2 0
Y Y
S Corporations passing this credit through to S corporation individual shareholders:
• Complete Form 351-S for each individual shareholder of the S corporation.
• Provide a copy of the completed form and the certificate received from the Arizona Department of Revenue to
each individual shareholder.
• Keep a copy of each completed Form 351-S for your records.
Individual Shareholders:
• Use this form to complete your own Form 351.
• Include this completed form and a copy of the certificate received from the Arizona Department of Revenue
with your return.
• Keep a copy of this form and certificate for your records.
NOTE: If you file your tax return on a calendar year basis but this entity files a return on a fiscal year basis (see above),
claim this credit on your tax return for the year in which this entity’s fiscal year ends.
Distribution of the Credit
Part 1
Complete this portion to distribute the credit to the individual shareholders of the S corporation.
(a) S Corporation Name
(b) Employer Identification Number (EIN) (c) Facility Code
1
(a) Individual Shareholder Name
(b) Taxpayer Identification Number (TIN)
2
3a S corporation credit amount .................................................................................................... 3a $
00
3b Shareholder’s ownership percentage ...................................................................................... 3b
%
3c Shareholder’s portion of the credit .......................................................................................... 3c $
00
Individual Shareholder:
The amount reported on line 3(c) is your portion of this credit. Complete your own Form 351 to claim this credit.
Part 2
Distribution of the Credit Recapture
Complete this portion to distribute the credit to recapture to the individual shareholders of the S corporation.
(a) S Corporation Name
(b) Employer Identification Number (EIN)
4
(a) Individual Shareholder Name
(b) Taxpayer Identification Number (TIN)
5
(a) Facility Code
(b) Tax Year(s) Credit Passed Through to This Individual Shareholder
6
7 Individual shareholder’s portion of the credit subject to recapture ..........................................
7 $
00
Individual Shareholder:
The amount reported on line 7 is your portion of this credit’s recapture. Complete your own Form 351 to determine
your recapture amount.
ADOR 11247 (15)
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