Form 104cr - Individual Credit Schedule - 2015 Page 3

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*150104CR39999*
FORM 104CR (09/10/15)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0005
Name
Account Number
22. School-to-Career Investment credit, submit a copy of the
certification
22
0 0
0 0
23. Colorado Works Program credit, submit a copy of the letter from
the county Dept. of Social/Human Services
23
0 0
0 0
24. Child Care Contribution credit, submit form(s) DR 1317
24
0 0
0 0
25. Long-term Care Insurance credit, submit a year-end statement to
show premiums paid
25
0 0
0 0
26. Aircraft Manufacturer New Employee credit, submit Forms DR
0085 and DR 0086
26
0 0
0 0
27. Credit for remediation of contaminated land, submit a
copy of the CDPHE certification when claiming this credit
27
0 0
0 0
28. Colorado Job Growth Incentive credit, submit certification from
OEDIT
28
0 0
0 0
29. Certified Auction Group License Fee credit, submit a copy of the
certification
29
0 0
0 0
30. Advanced Industry Investment credit, submit a copy of the
certification
30
0 0
0 0
31. Low-income Housing credit, submit CHFA certification
31
0 0
0 0
32. Credit for Food Contributed to Hunger-Relief Charitable
Organizations, submit Form(s) DR 0346
32
0 0
0 0
33. Alternative Fuel Refueling Facility credit, carryforward from
2010 only
33
0 0
0 0
34. Total of column A
34
0 0
35. Nonrefundable Credits Used, total of column B plus any amount from line 16. Also enter this
amount on line 35 of Form 104
35
0 0
36. Carryforward Amount, subtract line 35 from line 34 - excluding any expiring carryforwards
36
0 0

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