NC-Rehab
2016 Historic Rehabilitation Tax Credits
Web
7-16
Amended
1 6
For calendar year 2016 or other tax year beginning
and ending
Return
Fill in the circle that
Individual (D-400)
C-Corp (CD-405)
Insurance (IB-13, 33, 43, 53, 4A1, 4A2, or 4A3)
corresponds to the
tax form you filed:
Estate or Trust (D-407)
S-Corp (CD-401S)
Partnership (D-403)
Individual’s First Name (USE CAPITAL LETTERS )
M.I.
Individual’s Last Name (USE CAPITAL LETTERS )
Individual’s Social Security Number
Entity’s Legal Name (USE CAPITAL LETTERS )
Federal Employer ID Number
Part 1.
Qualifying Information
Is taxpayer allowed a federal income tax credit under Section 47 of the Internal Revenue Code? (
Yes
No
Fill in applicable circle)
Income-producing
Nonincome-producing
Type of Historic Structure (
Fill in applicable circle)
Address and County Where Historic Structure is Placed in Service
(If you have qualified rehabilitation expenditures or rehabilitation expenses at multiple locations, list the address of each location.)
Part 2.
Computation of Credit for Rehabilitating an Income-Producing Historic Structure
(You can only take this credit if you are allowed a federal income tax credit under section 47 of the Code.)
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1.
Total qualified rehabilitation expenditures
00
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2 0 0 0 0 0 0 0
2.
Maximum expenditures
00
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3.
Amount of Line 1 that qualifies for the credit
00
Compare Line 1 with Line 2. Enter the lesser of Line 1 or Line 2.
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4.
Enter the amount of Line 3 up to $10 million
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5.
Multiply Line 4 by fifteen percent (15%)
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6.
Line 3 minus Line 4
00
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7.
Multiply Line 6 by ten percent (10%)
00
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8.
Expenditures in a development zone
00
Enter the amount of Line 3 for expenditures made in a development tier 1 or tier 2 area.
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9.
Development tier bonus
00
Multiply Line 8 by 5%.
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10.
Expenditures on a targeted investment site
00
Enter the amount of Line 3 for expenditures made on a targeted investment site.
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11.
Targeted investment bonus
00
Multiply Line 10 by 5%.
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12.
Credit for Rehabilitating an Income-Producing Historic Structure
00
Add Lines 5, 7, 9, and 11.