Form 8874(K)-B Draft - Notice Of Kentucky New Markets Development Program Tax Credit Recapture - 2015
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1
28874(K)-B
*1500010321*
41A720-S82 (5-15)
Commonwealth of Kentucky
NOTICE OF KENTUCKY NEW MARKETS DEVELOPMENT
DEPARTMENT OF REVENUE
PROGRAM TAX CREDIT RECAPTURE
KRS 141.433
➤ See instructions.
A
B
C
Name of Qualified Community
Federal Identification Number
Kentucky Corporation/LLET
Development Entity (CDE)
of CDE
Account Number (if applicable)
of CDE
–
D
E
F
Name of taxpayer making the qualified
Identification number of taxpayer
Kentucky Corporation/LLET
equity investment
Account Number (if applicable)
of taxpayer
–
G
Number and Street (taxpayer’s address)
Certified purchase price of
the taxpayer’s qualified equity
investment
City
State
Zip Code
$
H
I
Date the CDE received cash for taxpayer’s
What type of entity is the taxpayer?
qualified equity investment
¨ Individual
¨ Estate
¨ Trust
¨ General Partnership
/
/
¨ Corporation
¨ S Corporation
¨ Limited Liability Pass-through Entity
Mo.
Day
Yr.
J
K
Date taxpayer’s qualified equity investment
Explanation of recapture
was subject to recapture
/
/
Mo.
Day
Yr.
Original
Decrease
Balance of
Tax Credit Claimed
Tax Credit
of Tax Credit
Tax Credit
by Taxpayer
1. Total (add lines 2a through 2g) ..............
0
0
0
0
2. a. Year 1 ...................................................
0
0
0
0
b. Year 2 ...................................................
c. Year 3 ...................................................
d. Year 4 ...................................................
e. Year 5 ...................................................
f. Year 6 ...................................................
g. Year 7 ...................................................
3. If the Tax Credit Claimed by Taxpayer on line 1 is greater than the Balance of Tax Credit on line 1,
enter the recapture of the tax credit on this line .......................................................................................
4. If the Balance of Tax Credit on line 1 is greater than the Tax Credit Claimed by Taxpayer on line
1, enter the balance of the tax credit on this line ......................................................................................
Department of Revenue Use Only
By: ___________________________________________
Date: _____________________
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