Form Ct-243 - Claim For Biofuel Production Credit - 2012 Page 2
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2Page 2 of 2 CT-243 (2012)
Part 3 – Partnership information
(attach additional sheets if necessary)
If you were a partner in a partnership and received a pro rata share of the biofuel production credit from that entity,
complete the following information for each partnership.
Name of partnership
Partnership’s EIN
Credit amount allocated
Total from additional sheet(s) ............................................................................................................................
15 Total credit amount allocated from partnership(s)
........................
15
(enter this amount here and on line 4)
Certification: Under penalties of perjury, I certify that the biofuel produced at the eligible biofuel plant meets all the existing standards
for biofuel and the amount of biofuel reported as produced at the eligible biofuel plant is to the best of my knowledge and belief, true,
correct, and complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
527002120094
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