IT-RHC (Rev. 04/10)
Rehabilitated Historic Credit
STATE OF GEORGIA
DEPARTMENT OF REVENUE
Attach to your income tax return
TAXPAYER SERVICES DIVISION
Name
Street and Number
City or Town
County
State
Zip Code
Federal Employer I.D. No.
Taxpayer’s S.S. Number
Spouse’s S.S. Number
You must attach Georgia Department of Natural Resources Part B -Final Certification, the property tax
bill for the year immediately prior to the beginning of the 24 month (or 60 month) period and the property
tax bill for the year immediately after the beginning of the 24 month (or 60 month) period.
A separate form must be filled out for each certified structure.
Project Completion Date (line 2d. from your Part B-Final Certification)______________
Part A - Historic Home (including the portion of a certified structure that is used as a historic
home)
Determination of Substantial Rehabilitation
1. Amount of the qualified rehabilitation expenditures (line 2e. II.
f
o r
m
y
o
r u
P
a
t r
B
F -
n i
l a
C
e
i t r
c i f
t a
o i
) n
_
_
_
_
_
_
_
_
_
_
_
______
2. Fair market value as determined by the county tax assessor at
the beginning of the 24 month (or 60 month) rehabilitation period
______________
(line 3e. from your Part B-Final Certification)
. 3
P
e
c r
e
n
a t
g
e
i l
m
t i
t a
o i
n
5
0
%
4. Multiply line 2 by line 3
______________
. 5
D
o
a l l
i l r
m
t i
t a
o i
n
$
2
5
0 ,
0
0
. 6
E
t n
r e
h t
e
e l
s s
r e
f o
n i l
e
4
r o
n i l
e
5
_
_
_
_
_
_
_
_
_
_
_
______
7. Subtract line 6 from line 1, if zero or less, STOP, you have not completed a
substantial rehabilitation and are not eligible for this portion of the credit
_________________
Amount of the Credit
_____________
8. Amount from Line 1
. 9
C
e r
i d
i l t
m
t i
t a
o i
n
1
0
%
1
. 0
M
u
t l
p i
y l
n i l
e
8
b
y
n i l
e
9
_
_
_
_
_
_
_
_
_
_
_
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