Form Htc-13 - Application For Rhode Island Historic Preservation Tax Credits - 2013
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Form HTC-13
P
, RI 02908
ROVIDENCE
Application for Rhode Island Historic Preservation Tax Credits 2013
Pursuant to R.I.G.L. 44-33.6 application may be made to the Rhode Island Division of Taxation beginning on August 1,
2013 to reserve a portion of the credit available under the Rhode Island Historical Preservation Tax Credits 2013 program.
Applicant Information:
Applicant name
Social security number or federal identification number
Applicant address
City
State
ZIP Code
Mailing address, if different from above (All correspondence will be sent using this address.)
City
State
ZIP Code
If other, describe:
What is your relationship to this project? Owner
Developer
Other
Contact name
Contact telephone number
Contact email address
Project Information:
Project name
Project address
Project number (if already issued - if not leave blank)
Has this project already been issued a Part 1 Certification?
YES
NO
If yes, when?
Will this be a phased project?
YES
NO
Estimated amount of qualified rehabilitation expenditures to be incurred
Estimated amount of historic preservation tax credit 2013 (not to exceed $5,000,000)
Are you applying for a 20% or 25% credit?
20%
25%
To qualify for the 25% credit, at least 25% of the total rentable area, or
the entire first floor, of the certified historic structure will be made available for a trade or business as defined under RIGL chapter 44-33.6.
Signature of applicant
Date
Signature of owner (REQUIRED if applicant is not owner of property)
Date
By signing this application, you authorize the Rhode Island Division of Taxation to share information contained
on this application with the Rhode Island Historical Preservation & Heritage Commission.
For further questions or assistance, please contact Donna Dube at (401) 574-8903
Mail completed applications to:
Donna Dube
RI Division of Taxation
Forms, Credits & Incentives Section
One Capitol Hill
Providence, RI 02908
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