Schedule Z - Other Credits - 2013
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1File pg. 6
SOCIAL SECURITY NUMBER
FIRST NAME
M.I.
LAST NAME
Note: If claiming other credits on Form 1, line 30 or Form 1-NR/PY, lines 34 or 35, you must complete and enclose Schedule Z with your return.
Schedule Z Other Credits.
2013
Enclose with Form 1 or Form 1-NR/PY. o not cut or separate these schedules.
P RT 1. CREDITS
0 0
1
Lead Paint (you must enclose Schedule LP). Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
a. Total number of units in line(s) 1a and 3a of Schedule LP . . . . . . . . . . . .
1a
2
Economic Opportunity Area (you must enclose Schedule EOAC). Not less than “0”
Economic Development Incentive Program
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
2
0 0
3
Septic (you must enclose Schedule SC). Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
Brownfields. Not less than “0”
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
4
5
Low-Income Housing. Not less than “0”
0 0
Building identification number . . . . . . . . . . . . . .
. . . . . . .
5
6
Historic Rehabilitation. Not less than “0”
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
6
7
Film Incentive. Not less than “0”
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
7
8
Medical Device. Not less than “0”
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
8
9
Employer Wellness Program credit
0 0
Certificate number . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
9
10
Add lines 1 through 9. Not less than “0”. Nonresidents and part-year residents, enter the result
here and on Form 1-NR/PY, line 34. Part-year residents, also complete lines 11 through 13, if
0 0
applicable. Full-year residents, also complete lines 11 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
P RT 2. CREDITS FOR FULL-YE R ND P RT-YE R RESIDENTS ONLY
0 0
11
Income tax paid to another state or jurisdiction (from worksheet). Not less than “0” . . . . . . . . . . .
11
Enter two-letter state or jurisdictional postal code. . .
0 0
12
Solar and wind energy (you must enclose Schedule EC). Not less than “0” . . . . . . . . . . . . . . . . . . .
12
P RT 3. TOT LS
13
Add lines 11 and 12. Not less than “0”. Part-year residents, enter the result here and on Form
0 0
1-NR/PY, line 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14
Full-year residents only. Add lines 10 and 13. Not less than “0”. Enter the result here and on
0 0
Form 1, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Schedule R Other Refundable Credits
0 0
1
Refundable film credit (you must enclose Schedule RFC). Not less than “0” . . . . . . . . . . . . . . . . . . .
1
2
Refundable dairy credit (see instructions)
0 0
Not less than “0”. Certificate number . . . . . . . . .
. . . . . . .
2
3
Refundable conservation land tax credit
0 0
Not less than “0”. Certificate number . . . . . . . . .
. . . . . . .
3
4
Total refundable credits. Add lines 1 through 3. Not less than “0”. Enter result here and on Form 1,
0 0
line 42 or Form 1-NR/PY, line 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
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