Form It-633 - Economic Transformation And Facility Redevelopment Program Tax Credit - 2012 Page 2
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1
2
3
4Page 2 of 4 IT-633 (2012)
(submit additional sheets if necessary)
Part 2 – Investment tax credit component
Qualified investment at a closed facility
B
C
D
A
Date placed in service
Cost or other basis for
Credit
Description of property
federal income tax purposes
(mm-dd-yyyy)
(column C x 10% (.10))
.
.
00
00
.
.
00
00
.
.
00
00
.
.
00
00
Total of column D amounts from additional sheet(s), if any ..............................................................................
.
00
9 Total
.................................................................................................................
(add column D amounts)
.
9
00
10 Closed facility investment tax credit
(enter the line 9 amount or the maximum credit
......................................................... 10
amount provided to you by ESD, whichever is less; see instructions)
.
00
All other qualified investments
B
C
D
A
Date placed in service
Cost or other basis for federal income
Credit
Description of property
(mm-dd-yyyy)
(column C x 6% (.06))
tax purposes
.
.
00
00
.
.
00
00
.
.
00
00
.
.
00
00
Total of column D amounts from additional sheet(s), if any ..............................................................................
.
00
11 Total
................................................................................................................. 11
(add column D amounts)
.
00
12 Other qualified investments credit component limitation
............................................ 12
(see instructions)
4000000 .00
13 Other qualified investments credit component after limitation
(enter the amount from line 11 or line 12,
................................................................................................................................. 13
whichever is less)
.
00
14 Add lines 10 and 13 .............................................................................................................................. 14
.
00
15 Enter your share of the investment tax credit component from
Partner
your partnership(s) ............................................................................................ 15
.
00
16 Enter your share of the investment tax credit component from
S corporation
your S corporation(s) ......................................................................................... 16
.
shareholder
00
17 Enter your share of the investment tax credit component from
Beneficiary
the estate(s) or trust(s) ...................................................................................... 17
.
00
18 Total investment tax credit component
............................. 18
(add lines 14 through 17)
.
00
Partnerships: Enter the line 18 amount and code B33 on Form IT-204, line 144, and continue with Part 3.
Fiduciaries: Enter the line 18 amount on the Total line of Schedule C, column D, and continue with Part 3.
All others: Continue with Part 3.
(submit additional sheets if necessary)
Part 3 – Training tax credit component
A
C
D
E
F
G
B
Employee’s name
Description of training expense
Column E x
Credit (enter the lesser of
Social security number
Date paid
Amount of
(mm-dd-yyyy)
50% (.5)
column F or $4000)
expense
.
.
.
00
00
00
.
.
.
00
00
00
.
.
.
00
00
00
.
.
.
00
00
00
Total of column G amounts from additional sheet(s), if any .................................................................................
.
00
19 Total
................................................................................................................. 19
(add column G amounts)
.
00
20 Enter your share of the training tax credit component
Partner
from your partnership(s) .................................................................................... 20
.
00
21 Enter your share of the training tax credit component
S corporation
from your S corporation(s) ................................................................................. 21
.
shareholder
00
22 Enter your share of the training tax credit component
Beneficiary
from the estate(s) or trust(s) .............................................................................. 22
.
00
23 Total training tax credit component
................................... 23
( add lines 19 through 22)
.
00
Partnerships: Enter the line 23 amount and code C33 on Form IT-204, line 144, and continue with Part 4.
Fiduciaries: Enter the line 23 amount on the Total line of Schedule C, column E, and continue with Part 4.
All others: Continue with Part 4.
633002120094
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