Form It-611 - Claim For Brownfield Redevelopment Tax Credit - 2013 Page 3
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4IT-611 (2013) Page 3 of 4
Part 3 – On-site groundwater remediation credit component
(see instructions)
A
B
C
Description of groundwater remediation costs
Date costs paid or
Costs
(see instructions)
incurred
(mm-dd-yyyy; see instr.)
.
00
.
00
.
00
17 Total of column C amounts from additional list(s), if any ............................................................. 17
.
00
18 Add column C amounts
.............................................................. 18
(include any amount from line 17)
.
00
19 Applicable percentage rate
.............................. 19
(from Applicable percentage table in the instructions)
%
20 On-site groundwater remediation credit component
............................ 20
(multiply line 18 by line 19)
.
00
21 Enter your share of the on-site groundwater remediation credit component
Partner
21
from your partnership(s ) ............................................................................
.
00
22 Enter your share of the on-site groundwater remediation credit component
S corporation
shareholder
22
from your S corporation(s) .........................................................................
.
00
23 Enter your share of the on-site groundwater remediation credit component
Beneficiary
23
from the estate(s) or trust(s) ......................................................................
.
00
24 Total on-site groundwater remediation credit component
(add lines 20 through 23; see instructions)
24
.
.......................................................
00
25 Brownfield redevelopment tax credit
........................................................ 25
(add lines 8, 16, and 24)
.
00
Fiduciaries: Complete Schedule D.
Individuals: Enter the line 25 amount on line 26.
Schedule C – Partnership, S corporation, estate, and trust information
(see instructions)
If you were a partner in a partnership, a shareholder of a New York S corporation, or a beneficiary of an estate or trust and received a share
of the brownfield redevelopment tax credit from that entity, complete the following information for each partnership, New York S corporation,
estate, or trust. For Type, enter P for partnership, S for S corporation, or ET for estate or trust.
Name
Type
Employer ID number
Schedule D – Beneficiary’s and fiduciary’s share of credit components and recapture of credit
(see instr.)
A
B
C
D
E
F
Beneficiary’s name
Share of site
Share of tangible
Share of on-site
Share of
Identifying number
preparation credit
property credit
groundwater
recapture
(same as on Form IT-205, Schedule C)
component
component
remediation credit
of credit
component
.
.
.
.
Total
00
00
00
00
.
.
.
.
00
00
00
00
.
.
.
.
00
00
00
00
Fiduciary
.
.
.
.
00
00
00
00
171003130094
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