Arizona Form
2015
Credit for Renewable Energy Industry
342
Include this completed form and the Certification of Qualification from the Arizona Commerce Authority with your return.
For the calendar year 2015 or fiscal year beginning
M M D D
2 0 1 5 and ending
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
Listing of Post-Approved Renewable Energy Operations and Apportioned Credit Amount
List renewable energy operations for which you are entitled to claim a credit during this taxable year. If you have more than two
operations, include additional schedules. See instructions.
(a)
(b)
Arizona Commerce Authority Post-Approval Information
Apportioned Credit Amount
(a)1
(a)2
(a)3
Allocation Year
Post-Approval Date
Post-Approval Number
YYYY
MM DD YYYY
00
1
YYYY
MM DD YYYY
00
2
00
3
Aggregate total from all additional schedules .........................................
3
00
4
TOTAL: Add lines 1 through 3 ...............................................................
4
Part 2
Credit Recapture
5
Date on which the Certification of the business as a renewable energy industry was terminated or
M M D D Y Y Y Y
revoked ..............................................................................................................................................
5
6
Total recapture of apportioned credit for renewable energy industry:
Full amount of credits
previously claimed or passed through to S corporation shareholders or partners of a partnership.
Enter the amounts from Part 1, column (b) on Form 342 for the tax years prior to the date on line 5.
00
If more than one Certification has been terminated or revoked, enter the aggregate amount ..........
6
Part 3
S Corporation Credit Election and Shareholder’s Share of Credit and Credit Recapture
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 credit for renewable energy industry as shown on Part 1, line 4 (for the taxable year mentioned above);
OR
Pass the credit for renewable energy industry as shown on Part 1, line 4 (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. If passing credit recapture
through to the shareholders, complete line 11 separately for each shareholder. Furnish each shareholder with a copy of the Certification
from Commerce and pages 1 and 2 of Form 342.
8
Name of shareholder:
9
Shareholder’s TIN:
00
10
Shareholder’s share of the apportioned credit for renewable energy industry from Part 1, line 4 ..... 10
00
11
Shareholder’s share of the credit recapture from Part 2, line 6 .........................................................
11
Continued on page 2
ADOR 11130 (15)