California Form 3580 - Application And Election To Amortize Certified Pollution Control Facility

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Application and Election to Amortize
TAXABLE YEAR
CALIFORNIA FORM
3580
Certified Pollution Control Facility
Attach to your California tax return.
 SSN or ITIN  Corporation no.  FEIN
Name(s) as shown on your California tax return
California Secretary of State file number
General nature of business
Complete this form to elect to amortize the cost of a certified pollution control facility located in California over a 60-month period.
This election applies to:
Air pollution
Water pollution
The amortization to begin with the:
Month following acquisition or completion
Year following acquisition or completion
Complete Part I and Part II, and get certification for Part III. See instructions.
Part I Pollution Control Facility
Date purchased or construction completed
Useful life of facility
Is facility in operation?
If ‘’Yes,’’ date facility was placed in operation
If ‘’No,’’ date facility is expected to be placed in
operation
Yes
No
Is facility an addition to existing facility?
Is this a new facility?
Total cost
Amortization (monthly)
Yes
No
Yes
No $
$
Part II Description of Facility and/or Components
(Include trade or technical name, model number, manufacturer’s name, address, etc.)
I certify to the best of my knowledge and belief that the above information is true and correct.
Signature and title
Date
Part III Certification (See instructions)
Certification by the State Air Resources Board (Air Pollution)
Certification by the State Water Resources Control Board (Water Pollution)
Signature and title
Date
Comments
FTB 3580 2012 Side 1
7421123
For Privacy Notice, get form FTB 1131.

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