Form Tc-40a - Income Tax Supplemental Schedule Page 2

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TC-40A
Continued - Income Tax Supplemental Schedule
40205
Rev. 12/12
Your last name
Your social security number
Part 5 - Refundable Credits (write the code and amount of each refundable credit, see page 24)
Amount
Code
Code
Code
39 Renewable commercial energy systems
47 Agricultural off-highway gas/undyed diesel
.00
40 Targeted business tax credit
48 Farm operation hand tools
.00
41 Special needs adoption credit
.00
.00
.00
Total refundable credits (add all refundable credits and enter total here and on TC-40, line 38)
.00
Submit this page ONLY if data entered
Attach completed schedule to your 2012 Utah Income Tax return

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