Instructions For Form 8942 - Application For Certification Of Qualified Investments Eligible For Credits And Grants Under The Qualifying Therapeutic Discovery Project Program Page 3

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Who Must Sign
Attached” instead of completing the entry
investment immediately after the QTDP
spaces. If more space is needed, attach
grant was made.
Form 8942 must be signed and dated by
separate sheets using the same size and
If a QTDP credit was figured with
a person who:
format as the printed forms. If there are
respect to the investment for any tax year
Has personal knowledge of the facts
supporting statements and attachments,
ending before a QTDP grant is made:
stated in the application, and
arrange them in the same order as the
The applicant’s tax for the tax year that
Is authorized to bind the applicant.
lines they support and attach them last.
the QTDP grant is made will be increased
A stamped signature or faxed signature is
Show the totals on the Form 8942. Enter
by the amount of the QTDP credit allowed
not permitted.
the applicant’s name and TIN on each
under section 38;
Note: Form 8942 must be signed by the
supporting statement or attachment.
The applicant’s general business
same person who signs the attached
carryforwards under section 39 will be
An application is not complete if it
Project Information Memorandum.
adjusted to recapture the portion of the
!
does not include a Project
For a corporation, the form must be
QTDP credit that was not allowed under
Information Memorandum. See
CAUTION
signed and dated by:
section 38; and
Project Information Memorandum, above,
The president, vice president,
The amount of the QTDP grant will be
for more information.
treasurer, assistant treasurer, chief
determined without regard to any
accounting officer; or
reduction in the basis of any property
Amended Application
Any other corporate officer (such as tax
subject to depreciation because of the
officer) authorized to sign.
File an amended Form 8942 to:
QTDP credit.
Correct an error on a Form 8942
For a partnership, the form must be
For information generally on the
already filed. Check the box for an
signed and dated by a general partner.
recapture of the investment credit, see
amended application at the top of page 1.
For a limited liability company classified
Form 4255 and the Instructions to Form
Attach a statement that identifies the line
as a partnership, the form must be signed
3468.
number of each amended item, the
by a member or manager who would be
corrected amount, treatment, description,
authorized to sign the partnership’s Form
or characterization of the item, and an
1065. For more information on who can
Specific Instructions
explanation of the reasons for each
sign for a partnership, see the Instructions
change.
for Form 1065.
Request a QTDP grant for an applicant
Line 2. Taxpayer
For an estate or trust, the form must
that requested certification of qualified
be signed by the fiduciary, or an
Identification Number
investment for a QTDP credit for its 2009
authorized representative. If there are
tax year, 2010 tax year, or both, but did
Enter the applicant’s employer
joint fiduciaries, only one is required to
not request a QTDP grant on Form 8942
identification number (EIN) if the
sign the form.
for such tax year(s) at the time it filed its
applicant:
If the form is filed on behalf of the
application. The applicant can make a
Has an EIN;
applicant by a receiver, trustee, or
request for a QTDP grant by filing an
Has employees;
assignee, the fiduciary must sign the
amended Form 8942 requesting a QTDP
Is a corporation, partnership, trust,
form.
grant not later than the due date
estate, or other entity required to have an
(including extensions) for filing the tax
Paid Preparer
EIN; or
return for the applicant’s tax year in which
Is electing on line 17 to apply for a
If an employee of the applicant completes
the certified qualified investment to which
QTDP grant.
the form, the paid preparer’s space
the QTDP grant relates was made.
If the applicant is required to but does not
should remain blank. Anyone who
Correct the amount of qualified
have an EIN, the applicant must apply for
prepares the form but does not charge
investment previously reported if the
one on Form SS-4, Application for
the applicant should not complete that
applicant requested a grant. If the
Employer Identification Number. An EIN
section. Generally, anyone who is paid to
applicant requested a grant and the
can be applied for:
prepare the form must sign it and fill in the
amount of actual costs paid or incurred
Online — Click on the EIN link at
www.
“Paid Preparer’s Use Only” area.
for qualified investment is less than the
irs.gov/businesses/small. The EIN is
The paid preparer must complete the
amount included on line 35 for which
issued immediately once the application
required preparer information and:
certification was requested, file an
information is validated.
amended Form 8942 within 15 days after
Sign the form in the space provided for
By telephone at 1-800-829-4933.
the close of the applicant’s tax year to
the preparer’s signature.
By mailing or faxing Form SS-4.
show the actual costs paid or incurred for
Give a copy of the form to the
The applicant must have received an EIN
qualified investment. In addition, if the
applicant.
by the time Form 8942 is filed in order for
applicant completed column (a) and the
the form to be processed. For more
Assembling the
amount of actual costs paid or incurred as
information about EINs, see Publication
of September 30, 2010, for qualified
Application
1635.
investment is less than the amount shown
For the IRS to pay a QTDP grant,
To ensure that the application is correctly
on line 34, column (a) of the Form 8942
!
an application for a QTDP grant
processed, attach all documents and
filed, file an amended Form 8942 by
must include the applicant’s EIN.
other forms in the following order.
October 15, 2010, to show the actual
CAUTION
costs for that period.
1. Form 8942.
Lines 3 and 4
2. Form 2848, Power of Attorney and
Recapture
Declaration of Representative. See the
Enter the address of the location of the
instructions to line 13.
applicant’s principal place of business.
If the project ceases to be a qualified
3. Project Information Memorandum.
Include the suite, room, or other unit
therapeutic discovery project, the
4. Consent to Public Disclosure of
number after the street address. For
applicant may need to recapture the
Certain Qualifying Therapeutic Discovery
purposes of Form 8942, a P.O. box
amount of the QTDP credit or grant.
Project Program Application Information
number is not a valid street address.
If the amount of the QTDP grant
(if the applicant elects to consent to
exceeds the amount allowable as a
Line 7
certain limited disclosure). See section
QTDP grant, the excess must be
10.02 and Appendix B in Notice 2010-45.
Check the box that applies.
recaptured as if the investment to which
Complete every applicable entry space
the excess portion of the QTDP grant
An affiliated group is one or more
on Form 8942. Do not enter “See
related had ceased to be a qualified
chains of includible corporations (section
-3-
Instructions for Form 8942 (June 2010)

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