Arizona Form
2015
Renewable Energy Production Tax Credit
343
Include with your return.
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
Name as shown on Form 140, 140PY, 140NR, 140X, 99T, 120, 120A, 120S, 120X, or 165
Social Security or
Employer Identification Number
Part 1
Qualification for and Current Taxable Year’s Credit
1
Did you receive a Certificate from the Arizona Department of Revenue? ......................................
Yes
No
If “Yes”, include a copy of the Certificate. If “No”, skip line 2.
2
Enter the credit amount on the Certificate from the Arizona Department of Revenue for
00
this taxable year ..............................................................................................................................................................
2
3
Did an entity from which you are claiming a pass through renewable energy production tax
credit receive a Certificate from the Arizona Department of Revenue?..........................................
Yes
No
If “Yes”, include a copy of the Certificate. If “No”, skip line 4 and line 5.
4
Enter the name of the entity that received the Certificate from the Arizona Department of Revenue and
its identification number. Be sure to include a copy of the Certificate.
Name:
TIN:
5
Enter your share of the credit amount on the Certificate from the Arizona Department of Revenue for
00
this taxable year. See instructions ..................................................................................................................................
5
6
Total Credit: Add line 2 and line 5 and enter the total. This is your current year’s renewable energy
00
production tax credit .....................................................................................................................................................
6
Part 2
S Corporation Credit Election and Shareholder’s Share of Credit
M M D D Y Y Y Y
7
The S corporation has made an irrevocable election for the taxable year ending
to
(check only one box):
Claim the renewable energy production tax credit as shown on Part 1, line 6 (for the taxable year mentioned above);
OR
Pass the renewable energy production tax credit as shown on Part 1, line 6 (for the taxable year mentioned above)
through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholders, complete lines 8 through 10 separately for each shareholder. Also complete line 11 or line 12, as
applicable, separately for each shareholder. Provide a copy of the Certificate to each shareholder. Furnish each shareholder with a copy of pages 1 and
2 of Form 343.
8
Name of shareholder:
9
Shareholder’s TIN:
00
10
Shareholder’s share of the renewable energy production tax credit on Part 1, line 6 ....................................................
10
00
11
Shareholder’s share of the amount on Part 1, line 2 ......................................................................................................
11
00
12
Shareholder’s share of the amount on Part 1, line 5 ......................................................................................................
12
Part 3
Partner’s Share of Credit
Complete lines 13 through 15 separately for each partner. Also complete line 16 or line 17, as applicable, separately for each partner. Provide a copy of
the Certificate to each partner. Furnish each partner with a copy of pages 1 and 2 of Form 343.
13
Name of partner:
14
Partner’s TIN:
00
15
Partner’s share of the renewable energy production tax credit on Part 1, line 6 ............................................................
15
00
16
Partner’s share of the amount on Part 1, line 2 ..............................................................................................................
16
00
17
Partner’s share of the amount on Part 1, line 5 ..............................................................................................................
17
Continued on page 2
ADOR 11146 (15)