Name (as shown on page 1)
TIN
Part 4
Partner’s Share of Credit and Credit Recapture
Complete lines 12 through 14 separately for each corporate partner. If passing credit recapture through to the partners, complete line 15
separately for each partner. Furnish each partner with a copy of the Certification from Commerce and pages 1 and 2 of Form 349.
12
Name of partner:
13
Partner’s TIN:
00
14
Partner’s share of the apportioned credit for qualified facilities from Part 1, line 4 ............................ 14
00
15
Partner’s share of the credit recapture from Part 2, line 6 ................................................................. 15
Part 5
Credit Recapture Summary
16
Enter the taxable year(s) in which you took a credit for a business as a qualified facility whose
Certification has been terminated or revoked:
17
Enter the total amount of credit originally claimed on prior returns:
• Individuals, corporations, exempt organizations with UBTI, and S corporations:
Enter the amount from Part 2, line 6.
• S corporation shareholders: Enter the amount from Part 3, line 11.
• Partners of a partnership: Enter the amount from Part 4, line 15.
• Corporations, exempt organizations with UBTI, and S corporations: Also enter this amount on
Form 300, Part 2, line 29.
00
• Individuals: Also enter this amount on Form 301, Part 2, line 38 ................................................... 17
Total Apportioned Credit Claimed This Taxable Year
Part 6
18
Total apportioned credit for qualified facilities:
• Individuals, corporations, exempt organizations with UBTI, or S corporations: Enter the amount
from Part 1, line 4.
• S corporation shareholders: Enter the amount from Part 3, line 10.
• Partners of a partnership: Enter the amount from Part 4, line 14.
• Corporations: Also enter this amount on Form 120, line 22; or Form 120A, line 14; or
Form 120X, line 22.
• Exempt organizations with UBTI: Also enter this amount on Form 99T, line 12.
• S corporations: Also enter this amount on Form 120S, line 18.
• Individuals: Also enter this amount on Form 140, line 57; or Form 140NR, line 64; or
00
Form 140PY, line 68; or Form 140X, line 39 ................................................................................... 18
ADOR 11192 (15)
AZ Form 349 (2015)
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