Form 89se - Certification For Idaho'S Small Employer Tax Incentives Page 2

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EFO00044p2
Form 89SE - Page 2
07-08-15
6. Estimated/actual cost of capital investments in new plant and building facilities. For each year in the project period, list the
actual or projected cost of capital investments in new plant and building facilities.
a. Qualified investment. This is property that generally qualifies for the Idaho investment tax credit, including computers,
equipment, furniture, etc. Enter the tax year followed by the cost of qualified investments placed in service during that year.
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Total Amount_____________________________
b. Buildings and their structural components, including parking garages. Enter the tax year followed by the cost of buildings
and structural components placed in service during that year.
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Yr_________ Amount_____________________________
Total Amount_____________________________
7. Total plant and building facilities cost by location
CERTIFICATION BY TAXPAYER
Under penalties of perjury, I declare that to the best of my knowledge and belief this information is true, correct, and complete.
Signature of officer
Date
Phone number of officer
Title
Mail to: TAX POLICY
IDAHO STATE TAX COMMISSION
PO BOX 36
BOISE ID 83722
or
Fax to: TAX POLICY
(208) 334-7844

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