Los Angeles Revitalization Zone
CALIFORNIA FORM
TAXABLE YEAR
3806
2012
Deduction and Credit Summary
Attach to your California tax return.
r
SSN or ITIN or California corporation numbe
Name(s) as shown on return
FEIN
-
California Secretary of State (SOS) file number
A. Check the appropriate box for your entity type:
Individual
Estate
Trust
C corporation
S corporation
Partnership
Exempt organization
Limited liability company
Limited liability partnership
B. Enter the name of the Los Angeles Revitalization Zone (LARZ) business: ____________________________________________________________
C. Enter the address (actual location) where the LARZ business is conducted:
_____________________________________________________________________________________________________________________
D. Enter the name of the community within the former LARZ in which the business and/or investment activity is located .
_____________________________________________________________________________________________________________________
E. Enter the six-digit Principal Business Activity Code number of the LARZ Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_________________
F. Gross annual receipts of the business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_________________
G. Total asset value of the business . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
_________________
Part I Credit Carryovers Used (Complete Schedule Z on Side 2 before you complete this part .)
1 Hiring and sales or use tax credit carryovers claimed on the current year return:
a Construction hiring credit carryover from Schedule Z, line 8A, column (f) or line 11, column (c) . . . . . . . . . . . . . . . . . . . .1a _________________
b General hiring credit carryover from Schedule Z, line 9A, column (f) or line 12, column (c) . . . . . . . . . . . . . . . . . . . . . . . .1b _________________
c Sales or use tax credit carryover from Schedule Z, line 10A, column (f) or line 13, column (c) . . . . . . . . . . . . . . . . . . . . . .1c _________________
d Add line 1a, line 1b, and line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▌ 1d _________________
Part II Portion of Business Attributable to the Former LARZ
2 Enter the average apportionment percentage of your business that is in the former LARZ from Worksheet II, Section A,
line 4 . If your operation is wholly within the former LARZ, the average apportionment percentage is 100% (1 .00) . . . . . . . . 2 _________________
Part III Net Operating Loss (NOL) Carryover and Deduction
3 a Enter the total LARZ NOL carryover from prior years from Worksheet III, line 15, column (b) . . . . . . . . . . . . . . . . . . . . . 3a _________________
b Enter the total LARZ NOL carryover deduction used in the current year from Worksheet III, line 15, column (c) .
Enter this amount on Schedule CA (540 or 540NR), line 21e, column B; Form 100, line 21; Form 100W, line 21;
Form 100S, line 19; or Form 109, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3b _________________
c Enter the LARZ NOL to carry over to future years from Worksheet III, line 15, column (e) . . . . . . . . . . . . . . . . . . . . . . . . 3c _________________
FTB 3806 2012 Side 1
7551123