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Form 4585 - Michigan Business Tax Investment Tax Credit Recapture From Sale Of Assets Acquired Under Single Business Tax - 2014 Page 2

4585, Page 2

FEIN or TR Number

UBG Member FEIN or TR Number

PART 2: CALCULATION OF SBT ITC RECAPTURE RATES

Enter amounts from ALL prior SBT C-8000ITC forms filed for tax years beginning on or after January 1, 2000. Enter SBT tax years in date order. Enter

amounts in whole dollars only (no cents).

Return For

Effective

Taxable Year

Net Capital Investment

SBT ITC

SBT ITC Used

Ending

Percentage Rate of

SBT ITC by Year

(C-8000ITC, Line 24)

(C-8000ITC, Line 33)

(C-8000ITC, Line 36)

(MM-DD-YYYY)

Enter amounts from Form 4569, line 3, for all periods ending in 2008 or 2009.

Return For

Taxable Year

SBT ITC Carryforward Used

Ending

(Form 4569, line 3)

(MM-DD-YYYY)

PART 3: CALCULATION OF SBT ITC RECAPTURE AMOUNTS

Enter amounts in whole dollars only (no cents).

Taxable Year (End Date)

Total SBT ITC Recapture Base

Year-Specified Recapture

In Which Disposed

by Year of Acquisition

Assets Were Acquired

Percentage Rate from

Recapture Amount

Line 4, Column E

Add Amounts from Columns 1F, 2F and 3B

Multiply Column B by Column C

(MM-DD-YYYY)

7. TOTAL. Enter total of Line 6, column D. Carry total to Form 4570, line 19 ....................................................

0000 2014 75 02 27 2

Form 4585 - Michigan Business Tax Investment Tax Credit Recapture From Sale Of Assets Acquired Under Single Business Tax - 2014 Page 2