Form Htc-V2 - Rhode Island Historic Structures - Tax Credit - Processing Fee Form

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S
R
I
P
P
TATE OF
HODE
SLAND AND
ROVIDENCE
LANTATIONS
D
T
IVISION OF
AXATION
O
C
H
NE
APITOL
ILL
P
, RI 02908
ROVIDENCE
Rhode Island Historic Structures - Tax Credit
Form HTC-V2
Processing Fee Form
Name of Developer
Social Security Number or Federal Identification Number
Address
City
State
Zip Code
Pursuant to R.I.G.L. 44-33.2-2 and 44-33.2-3, only projects that received Part I certification from the Rhode Island
Historical Preservation and Heritage Commission prior to January 1, 2008 were eligible for tax credits under this chapter.
Developers are required to pay a processing fee ranging from 3% to 5% of the Qualified Rehabilitation Expenditures of
the certified historic structure. 2.25% of the Qualified Rehabilitation Expenditures was due on or before May 15, 2008,
with the balance due on or before March 5, 2009, or at the completion of the project, whichever comes first.
THIS FROM MUST BE COMPLETED AND SENT IN WITH PAYMENT TO THE DIVISION OF TAXATION, ALONG
WITH THE COST CERTIFICATION REPORT AND A BREAKDOWN OF CERTIFICATE HOLDER INFORMATION.
PART A: PROJECT INFORMATION
Project Name:
Project Location:
Project Number:
PART C: PROCESSING FEE CALCULATION
Credit/Fee Structure Checked on May 15, 2008 Voucher Form
Credit __________
a) 27% percent credit with a 5% processing fee
1.
b) 26% percent credit with a 4% processing fee
Fee __________
c) 25% percent credit with a 3% processing fee
Estimated Qualified Rehabilitation Expenditures or Actual Qualified Rehabilitation
$
2.
Expenditures if Project is complete (whichever is lower)
$
3.
Total processing fee due (Line 2 times fee from line 1)
Processing fee paid on May 15, 2008
(If this is a phased project, enter amount of fee
$
4.
associated with this completed phase only. If this is the final phase, include total fee paid.)
$
5.
Deposits made to RI Historical Preservation and Heritage Commission
Amount due on March 5, 2009 or at completion of project, whichever comes first.
$
6.
Line 3 less lines 4 and 5. (Make check payable to RI Division of Taxation)
Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete.
Date
Telephone number
Signature
(
)
For further questions or assistance, please contact Donna Dube at (401) 574-8903.
Mail completed form with payment to:
RI Division of Taxation - Historic Tax Credit
One Capitol Hill
Providence, RI 02908
Attn: Donna Dube
rev. 1/02/2009

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