Form 3660 - Brownfield Redevelopment Credit - Project Preapproval Application
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8Michigan Department of Treasury, SBT
3660 (8-00)
OFFICE USE ONLY
Parcel No(s).
Project No.
BROWNFIELD REDEVELOPMENT CREDIT
PROJECT PREAPPROVAL APPLICATION
Date Received
Date Review Completed
Issued under authority of P.A. 143 of 2000. Filing is Mandatory.
PART 1: QUALIFIED TAXPAYER INFORMATION
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
1. Qualified Taxpayer Name
2. Organization Type (check one)
Individual
Fiduciary
d/b/a
Professional Corp.
S. Corp
Other Corp.
Partnership/
Address (Street, P.O. Box, RR#)
LLC-Partnership
Limited Liability
Company-Corporation
City, State, ZIP
3. Federal Employer ID No. (FEIN) or Treasury (TR) No.
4. Has the Department of Environmental Quality ever sued or issued a unilateral order to you pursuant to Part 201 of the Natural Resources
and Environmental Protection Act, 1994 PA 451, MCL 324.20101 to 324.20142, to compel response activity on or to the eligible property,
or expended any state funds for response activity on or to the eligible property and demanded reimbursement for those expenditures from
you?
Yes
No
If yes, you are not a qualified taxpayer and are not eligible for this credit.
5. Will the project include an unknown lessee who will be making eligible investments?
Yes
No
Continued on Reverse Side
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