Arizona Form
2015
Environmental Technology Facility Credit
305
Include with your return.
For the calendar year 2015 or fiscal year beginning
2 0 1 5 and ending
2 0
.
M M D D
M M D D
Y Y
Name as shown on Form 140, 140PY, 140NR, 140X, 99T, 120, 120A, 120S, 120X, or 165 Social Security or Employer Identification Number
Certification number from the former Arizona Department of Commerce:
Schedule of Cost of Equipment or Property Used in Construction of Facility
Part 1
for Current Year and Current Taxable Year’s Credit Calculation
M M D D Y Y Y Y
1
Date of facility’s initial construction ......................................................
1
(a)
(b)
Description
Cost
00
00
00
00
00
00
00
00
00
00
00
2
Total ...................................................................................................................................................
2
00
3
Current year’s credit: Multiply line 2, column (b), by 10 percent (.10) ..............................................
3
Part 2
Recapture of Environmental Technology Facility Credit
M M D D Y Y Y Y
4
Date facility was placed in service .......................................................
4
5
Date facility ceased to operate as an environmental manufacturing,
M M D D Y Y Y Y
producing or processing facility ...........................................................
5
00
6
Enter total credit actually claimed for the total facility ........................................................................
6
7
Enter percent based on the year facility ceased to operate as an environmental manufacturing,
%
producing or processing facility .........................................................................................................
7
00
8
Total environmental technology facility credit recapture: Multiply line 6 by line 7 .............................
8
Continued on page 2
ADOR 10132 (15)