Individual Certificate Hrc Historic Rehabilitation Credit - Massachusetts Department Of Revenue - 2012

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2012
Massachusetts
Individual Certificate HRC
Department of
Historic Rehabilitation Credit
Revenue
For calendar year 2012 or taxable year beginning
and ending
Name of recipient
Social Security or Federal Identification number
Street address
City/Town
State
Zip
Name of project
Building identification number
Street address
City/Town
State
Zip
Name of project owner
Federal Identification number
Street address
City/Town
State
Zip
Certificate Number
Certificate number issued by Massachusetts Historical Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Allotment Amount
Amount of allotted credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distribution to Partners, Members or Owners
The owner of a project that is eligible to claim the Historic Rehabilitation Credit issues this Individual Certificate HRC. If the owner of the project distributes
or assigns any portion of the credit to its partners, members or owners, the project or owner must complete an Allotment HRC Historic Rehabilitation Credit
Summary. In addition, the project or owner must fill out and provide to each such partner, member or owner, an Individual Certificate HRC, Historic Rehabil-
itation Credit, indicating the amount of the individual credit distributed or assigned.
Tax Return Filing
Partners, members or owners receiving an Individual Certificate HRC, must file copies of such certificate and copies of the attendant Project Certificate and
Allotment HRC Historic Rehabilitation Credit Summary with their Massachusetts tax return.
Department of Revenue Filing
The project or owner must file a copy of the Project Certificate issued by the Massachusetts Historical Commission, and copies of both the Allotment HRC
Historic Rehabilitation Credit Summary and the Individual Certificate HRC, with the Department of Revenue. Mail to: Massachusetts Department of Rev-
enue, 200 Arlington Street, Room 4300, Chelsea, MA 02150, Attn.: Historic Rehabilitation Unit.

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