| OCR Text |
Show • IT Utah State Tax Commission TC-40H Historic Preservation Tax Credit Rev. 12195 The Utah Legislature has authorized a nonrefundable credit for use against individual income tax or corporate franchise tax for expenses incurred in connection with the qualified rehabilitation of any residential certified historic building. Taxpayers claiming this credit must complete one form for each rehabilitation claimed and attach it to their individual income or corporate franchise tax returns. See procedure instructions on the reverse side. Part A - This section must be completed by the taxpayer. Taxpayer's name Telephone number Social security number or FIN Address City State and ZIP code City State and ZIP code Address of residential certified historic building 49 East 500 North (historic Taylor House) Farmington UT 84025 Part B - This section must be completed by the State Historic Preservation Office Date final certification number was issued The residential certified historic building indicated above has been issueditlitl'l ~ .., following final certification number: UT~PO S93-0801 ' Certification by the State Historic Preservation Office - December 31, 1996 J I certify to the best of my knowledge and belief hat the information contained in Parts A and 8 above are true and complete. x t\lilson G,.' Martin Title DSHPO and Program Manager Date signed 12- - '3/- Part C - This section must be completed by the taxpayer Line 1 Date of original project approval Line 2 Date project completed Line 3 Total amount of the Historic Preservation cost .... ... . $ Line 4 Total amount of tax credit from project (line 3 multiplied by .20) $ Line 5 Amount of Historic credit used in year one (must not exceed the amount of tax due on your return). ... ... ....... ..... ...... .. . $ Line ~ Amount of Historic tax credit used second year $ Line 7 Amount of Historic tax credit used third year . . . ... .... ..... $ Line 8 Amount of Historic tax credit used fourth year $ Line 9 Amount of Historic tax credit used fifth year ...... ... .. ............. ... ,." $ Line 10 Amount of Historic tax credit used sixth year $ Total of lines 5 through 10 cannot exceed line 4. |
