Form R-10613 - New Markets Tax Credit Transfer Form
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1R-10613 (10/09)
New Markets Tax
Credit Transfer Form
Return to:
Louisiana Department of Revenue
Office Audit Division
P. O. Box 66362
Baton Rouge, LA 70896-6362
Date of Notification _________________________________
PLR#
Tracking Number
Initial Credit Allowance Date
Original Investor
Louisiana Revenue
Account ID Number:
Transferor
Louisiana Revenue
Account ID Number:
Transferee
Louisiana Revenue
Account ID Number:
Applicable Credit
Transferor original
$
Allowance Date:
balance from ACAD:
Amount previously
Amount previously
$
$
sold by Transferor
claimed by Transferor
from ACAD:
from ACAD:
Amount being
$
$
Purchase Price:
transferred:
$
Date of Sale/Transfer:
Balance after transfer:
Nature of sale
(Equity interest or
current credits):
IMPORTANT
1.
The PLR number is the Private Letter Ruling Number that was issued to the original investor when the credit was issued prior to
January 1, 2009. For credits issued after January 1, 2009, a Tracking Number was assigned when the credit was issued. Either the
PLR number OR the Tracking Number MUST be provided when submitting this form. The Initial Credit Allowance Date must also be
provided.
2.
This form must be submitted to the Department of Revenue within thirty days of the sale or transfer.
3.
If a sale of credits or a transfer of credits covers more than one Initial Credit Allowance Date, separate forms must be submitted indi-
cating each credit allowance date.
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