Form 1811cc 0701 - Certification Of Unused Delaware Historic Preservation Tax Credits - 2012 Page 2

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GENERAL INSTRUCTIONS FOR COMPLETION
OF FORM 1811CC 0701
Section 1814 of the Delaware Code permits any person eligible for the Delaware Historic Preservation Credit to transfer, sell
or assign any unused credits. The eligible person that transfers, sells or assigns any unused portion of the Delaware Historic
Preservation Tax Credits must complete Form 1811CC and send to the Delaware Division of Revenue for credit certification.
The certified copy of Form 1811CC from the Division of Revenue and the Office of the State Bank Commissioner must be
sent to the transferee, purchaser or assignee setting forth the amount of the certified unused credit. If you need assistance
completing this form, please contact Steve Seidel, Delaware Division of Revenue, 820 N. French Street, Wilmington, DE
19801,302-577-8455, stephen.seidel@state.de.us.
SPECIFIC INSTRUCTIONS
PART A - NAME AND ADDRESS OF CURRENT QUALIFIED PROPERTY OWNER
Line 1. Enter the Federal Employer Identification or Social Security Number of the person or entity currently owning the
qualified property.
Line 2. Enter the name of the person or entity currently owning the qualified property.
Line 3. Enter the address of the person or entity currently owning the qualified property.
Line 4. Enter the location of the qualified historic property, if different from Line 3.
Line 5. Enter the date (MM/DD/YY) in which the qualified property was granted Stage II approval and the date (MM/DD/YY)
in which the Certificate of Completion was issued for the qualified property.
PART B - NAME AND ADDRESS OF CREDIT PURCHASER/TRANSFEREE/ASSIGNEE
Line 1. Enter the Federal Employer Identification or Social Security Number of the credit purchaser, transferee or assignee
to whom the unused credits will be purchased, transferred or assigned.
Line 2. Enter the name of the credit purchaser, transferee or assignee to whom the unused credits will be purchased, transferred
or assigned.
Line 3. Enter the address of the credit purchaser, transferee or assignee to whom the unused credits will be purchased,
transferred or assigned.
FORM 1811CC MUST BE SIGNED BY THE CURRENT QUALIFIED PROPERTY OWNER OR AN
APPROVED REPRESENTATIVE OF THE CURRENT QUALIFIED PROPERTY OWNER. BY SIGNING
FORM 1811CC, THE CURRENT QUALIFIED PROPERTY OWNER AGREES TO THE RELEASE OF
INFORMATION TO THE CREDIT PURCHASER/TRANSFEREE/ASSIGNEE AND PERTAINING TO THE
DELAWARE HISTORIC PRESERVATION TAX CREDITS FOR THE HISTORIC PROPERTY IDENTIFIED
IN PART A OF FORM 1811CC.
PART C - CERTIFICATION OF THE DELAWARE HISTORIC PRESERVATION TAX CREDIT
STOP: ONLY COMPLETE PART A AND PART B OF THIS FORM. PART C OF THIS FORM WILL BE
COMPLETED AND CERTIFIED BY THE DELAWARE DIVISION OF REVENUE AND THE DELAWARE
STATE BANK COMMISSIONER OFFICE.

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