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Form 1811ac - Computation Schedule For Claiming Delaware Historic Preservation Tax Credits Page 2

GENERAL INSTRUCTIONS FOR COMPLETION OF

FORM 1811AC 0905

The State Historic Preservation O ce (SHPO) must rst approve the project as a Certi ed Rehabilitation. Once the

renovation is completed, a Certi cate of Completion is required in order to convert the project’s assigned credit award

to approved income tax credits. In order to receive the credits, the applicant must submit to SHPO their Part 3

application and Delaware Division of Revenue Form 1811AC 0905 and an accounting of the actual quali ed

expenditures of the renovation.

The SHPO will submit Form 1811AC 0905 and the Certi cate of Completion to the

Division of Revenue and the State Bank Commissioner who will compute and verify the credits for the renovation. If you

need assistance completing this form, please contact Stephen Seidel, Delaware Division of Revenue, 820 N. French St.,

Wilmington, DE 19801, 302-577-8445, stephen.seidel@state.de.us.

SPECIFIC INSTRUCTIONS

PART A - NAME AND ADDRESS OF CURRENT QUALIFIED PROPERTY OWNER

Line 1.

Enter the Federal Employer Identi cation or Social Security Number of the person or entity currently owning the

quali ed property.

Line 2.

Enter the name of the person or entity currently owning the quali ed property.

Line 3.

Enter the address of the person or entity currently owning the quali ed property.

Line 4.

Enter the location of the quali ed historic property, if di erent from Line 3.

Line 5.

Enter the date (MM/DD/YY) in which the quali ed property was granted Part II approval and the date

(MM/DD/YY) in which the Certi cate of Completion (Part III) was issued for the quali ed property.

PART B – TYPE OF HISTORIC PROPERTY

Please check the appropriate box under which the Delaware historic property is quali ed.

DELAWARE DIVISION OF REVENUE FORM 1811AC 0905 MUST BE SIGNED BY THE CURRENT

QUALIFIED PROPERTY OWNER OR AN APPROVED REPRESENTATIVE OF THE CURRENT

QUALIFIED PROPERTY OWNER

PART C – COMPUTATION OF THE DELAWARE HISTORIC PRESERVATION TAX CREDIT

STOP:

ONLY COMPLETE PART A AND PART B OF THIS FORM. PART C OF THIS FORM WILL BE

COMPLETED AND CERTIFIED BY THE DELAWARE DIVISION OF REVENUE AND THE DELAWARE

STATE BANK COMMISSIONER OFFICE.

THE TOTAL AMOUNT OF CREDITS APPROVED BY THE DIRECTOR WITH RESPECT TO ALL APPLICANTS FOR THE

DELAWARE HISTORIC PRESERVATION TAX CREDIT SHALL NOT EXCEED $5,000,000 BEGINNING IN FISCAL YEAR

ENDING JUNE 30, 2006. IF THE AMOUNT OF DELAWARE HISTORIC PRESERVATION CREDITS FOR WHICH ALL

APPLICANTS APPLIED IN ANY FISCAL YEAR EXCEEDS $5,000,000, THEN THE AMOUNT BY WHICH SUCH CREDIT

AWARD EXCEEDS $5,000,000 SHALL CARRY OVER TO THE SUCCEEDING FISCAL YEAR AND SHALL

RECEIVE PRIORITY FOR THAT YEAR.

Form 1811ac - Computation Schedule For Claiming Delaware Historic Preservation Tax Credits Page 2