Department of Revenue Services
2012
Form CT-1120HS
State of Connecticut
Historic Structures Rehabilitation Tax Credit
(Rev. 01/13)
For Income Year Beginning: _______________________ , 2012 and Ending: ________________________ , _________ .
Name of eligible taxpayer
Connecticut Tax Registration Number
General Information
Complete this form in blue or black ink only.
Credit Computation
Use Form CT-1120HS to claim the Historic Structures
Prior to any rehabilitation work taking place, the owner must
Rehabilitation tax credit available under Conn. Gen. Stat.
submit a rehabilitation plan to DECD along with an estimate of
§10-416a to owners rehabilitating certified historic structures
the qualified expenditures. DECD will certify the plan and reserve
for residential use. Attach it to Form CT-1120K, Business Tax
credits equal to 25% of the projected expenditures, not to exceed
Credit Summary and/or CT-207K, Insurance/Health Care Tax
$2.7 million. Upon completion of the project, DECD verifies the
Credit Schedule.
owner’s compliance with the rehabilitation plan and issues a
credit voucher to the owner rehabilitating the certified historic
The Historic Structures Rehabilitation tax credit is administered
by the Department of Economic and Community Development
structure or to the taxpayer named by the owner as contributing
(DECD). The credit may only be claimed if a tax credit voucher
to the rehabilitation.
has been issued by DECD.
Carryforward/Carryback
This credit may be applied against the taxes administered under
Any remaining credit balance that exceeds the credit applied
Chapters 207 (insurance companies and health care centers
may be carried forward for five income years.
taxes), 208 (corporation business tax), 209 (air carriers tax), 210
(railroad companies tax), 211 (community antenna television
Additional Information
systems tax), or 212 (utility companies tax) of the Connecticut
See Informational Publication 2010(13), Guide to Connecticut
General Statutes. The tax credit may be claimed in the year in
Business Tax Credits, or contact the Department of Revenue
which the substantially rehabilitated certified historic structure is
Services, Taxpayer Services Division at 1-800-382-9463
placed in service. In the case of projects completed in phases,
(Connecticut calls outside the Greater Hartford calling area only)
the tax credit shall be prorated to the substantially rehabilitated
or 860-297-5962 (from anywhere).
identifiable portion of the building placed in service.
This tax credit may be assigned.
Part I - Credit Computation
The Historic Structures Rehabilitation tax credit is being claimed by:
An owner
An assignee
A taxpayer named by owner as contributing to the rehabilitation
If credit is being claimed by an assignee, enter the name and Connecticut Tax Registration Number (if available) of the assignor
below. Attach explanation.
________________________________________________
______________________________________________
Assignor’s name
Assignor’s Connecticut Tax Registration Number
Tax credit: Enter the amount of Historic Structures Rehabilitation tax credit as listed on the voucher
1.
1.
DECD
issued by
for the 2012 income year. Enter here and on Form CT-1120K, Part I-D, Column B
or Form CT-207K, Part 1-A, Column B .