ARIZONA FORM
Credit for Donation of School Site
2012
331
For the calendar year 2012 or
M M D D Y Y Y Y
M M D D Y Y Y Y
fi scal year beginning
and ending
.
Attach to your return.
Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Social security or employer identifi cation number
The donated real property and improvements must be located in Arizona. The credit is in lieu of a deduction for the donation of the property for which the
credit is claimed. See instructions.
Part I
Donated Property Information and Current Taxable Year’s Credit Calculation
Property 1
Property 2
Property 3
1 Arizona county in which the property is located .................
1
2 Parcel number of property ..................................................
2
3 Date of property conveyance ..............................................
3
4 Recording number of property conveyance ........................
4
00
00
00
5 Value of property based on appraisal .................................
5
6 Multiply the amounts on line 5 in each column by
00
00
00
30 percent (.30) ..................................................................
6
00
7 Add the amounts on line 6 in each column - enter the total...............................................................................................
7
00
8 Total from continuation sheets, if applicable ......................................................................................................................
8
00
9 Current taxable year’s credit - add lines 7 and 8 ...............................................................................................................
9
Part II
S Corporation Credit Election and Shareholder’s Share of Credit
MM DD YYYY
MM DD YYYY
10 The S corporation has made an irrevocable election for the taxable year ending
to:
(CHECK ONLY ONE BOX)
Claim the credit for donation of school site as shown on Part I, line 9 (for the taxable year mentioned above);
OR
Pass the credit for donation of school site as shown on Part I, line 9 (for the taxable year mentioned above) through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholders, complete lines 11 through 13 separately for each shareholder.
Furnish each shareholder with a copy of pages 1 and 2 of Form 331.
11 Name of shareholder
12 Shareholder’s TIN
00
13 Shareholder’s share of amount on Part I, line 9 .............................................................................................................. 13
Part III Partner’s Share of Credit
Complete lines 14 through 16 separately for each partner.
Furnish each partner with a copy of pages 1 and 2 of Form 331.
14 Name of partner
15 Partner’s TIN
00
16 Partner’s share of amount on Part I, line 9 ...................................................................................................................... 16
ADOR 10537 (12)