Form 355 - Business/manufacturing Corporation Excise Return - 2013 Page 8
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82013 FORM 355, PAGE 8
FEDERAL IDENTIFICATION NUMBER
CORPORATION NAME
Schedule CR Other Corporate Credits
2013
1
Economic Development Incentive Program credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
1
2
Economic Opportunity Area credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
3% credit for certain new or expanded investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Vanpool credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Research credit (from Schedule RC, part 2, line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
Harbor Maintenance Tax credit (from Schedule HM, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7
Brownfields credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
7
8
Low-Income Housing credit
Building Identification number. . . . . . . . . . . . . . .
. . . . . . . . . . . . .
8
9
Historic Rehabilitation credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
9
10
Film Incentive credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
10
11
Medical Device credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
11
12
Employer Wellness Program credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
12
13
Life Science Company credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14
Total credits. Add lines 1 through 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Schedule RF Refundable Credits
1
Refundable Film credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
Refundable Dairy credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
2
3
Refundable Life Science credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Refundable Economic Development Incentive credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5
Conservation Land credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
5
6
Total refundable credits. Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
An exact copy of U.S. Form 1120 including all applicable schedules and forms and any other documentation required to substantiate entries
made on this return, must be made available to the Department of Revenue upon request. See instructions.
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