Form Dr 0348 - Remediation Of Contaminated Land Credit Transfer Schedule

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*140348==19999*
DR 0348 (08/13/14)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261-0005
Remediation of Contaminated Land
Credit Transfer Schedule
Last Name or Business Name
First Name
Middle Initial
SSN
Colorado Account Number
FEIN
Tax Year Ending
Part A: Donor’s Transfer Of Credit. Complete this part if you transferred credit for this tax year.
Credit Amount Available (Total credit amount available from Line 9e of the Remediation of
Credit Amount Available
Contaminated Land Certificate DR 0349)
Detail of credit you transferred for this tax year.
Date of
Colorado Account
Amount of
Name of Transferee
SSN
Number
Transfer
Credit
$
$
$
$
$
$
$
$
$
$
$
Total Transferred
$
Credit remaining (credit available, less total transferred).
$
Photocopy and submit additional pages as needed.
For additional information regarding the credit, see FYI Income 42 and the
Tax Information Index at or contact the Department of Revenue at 303-238-7378.

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