Form Ct-611 - Claim For Brownfield Redevelopment Tax Credit - 2014
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1
2
3New York State Department of Taxation and Finance
CT-611
Claim for Brownfield Redevelopment
Tax Credit
For Qualified Sites Accepted into the Brownfield Cleanup
Program Prior to June 23, 2008
Tax Law – Article 1, Section 21; Article 9, Section 187-g; Article 9-A, Section 210.33;
Article 32, Section 1456(q); and Article 33, Section 1511(u)
All filers must enter tax period:
beginning
ending
Legal name of corporation filing franchise tax return
Employer identification number (EIN)
File this form with your franchise tax return. A separate Form CT-611 must be filed for each Certificate of Completion (COC).
Did the Department of Environmental Conservation (DEC) accept this site into the Brownfield
Cleanup Program prior to June 23, 2008? ..................................................................................... Yes
No
If you answered Yes, complete Form CT-611 to claim the brownfield redevelopment tax credit. If you answered No, and
the site was accepted on or after June 23, 2008, do not complete this form; instead use Form CT-611.1 to claim the
brownfield redevelopment tax credit.
Enter the date of execution of the Brownfield Cleanup Agreement (BCA) for the brownfield site
for which you are claiming this credit...............................................................................................
A Mark an X in the box if you are claiming this credit as a corporate partner
..................................
(see instructions)
A
Schedule A – Brownfield site identifying information
Enter the following information as listed on the COC issued by the DEC for the qualified site (see instructions). Attach a
copy of the COC.
Site name
Site location – municipality
Site location – county
DEC region
Division of Environmental Remediation (DER) site number
Date COC was issued
If applicable, enter the date the COC was transferred pursuant to the transfer or sale of the
qualified site. Attach a copy of the sale or transfer documentation to this form.............................
Is the qualified site for which the COC was issued by the DEC located in an
environmental zone (EN-Zone)? ......................................................................................................
Yes
No
If Yes, enter the percent of the qualified site located within an EN-Zone ........................................
%
Schedule B – Site preparation credit component
(see instructions)
A
B
C
Description of site preparation costs
Date costs paid or incurred
Costs
(mm-dd-yy)
Total of column C amounts from attached list .................................................................................................
1 Add column C amounts
.................................................................
(corporate partners: see instructions)
1
2 Applicable percentage rate
.......................................................................................
2
(see instructions)
%
3 Site preparation credit component
(multiply line 1 by line 2; enter here and on line 13; New York
..........................................................................................................
S corporations, see instructions)
3
519001140094
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