Free CT-611.1 - New York

CT-611.1

Staple forms here

New York State Department of Taxation and Finance

Claim for Brownfield Redevelopment Tax Credit
Tax Law -- Sections 21, 187-g, 210.33, 1456(q), and 1511(u)
All filers must enter tax period: beginning

For Qualified Sites Accepted into the Brownfield Cleanup Program on or after June 23, 2008
ending Employer identification number (EIN)

Name

File this form with your franchise tax return. A separate Form CT-611.1 must be filed for each Certificate of Completion (COC). Did the Department of Environmental Conservation (DEC) accept this site into the Brownfield Cleanup Program on or after June 23, 2008? ................................................................................ Yes No

If Yes, complete Form CT-611.1 to claim the brownfield redevelopment tax credit. If No, and the site was accepted prior to June 23, 2008, do not complete this form; instead use Form CT-611, Claim for Brownfield Redevelopment Tax Credit, for Qualified Sites Accepted into the Brownfield Cleanup Program Prior to June 23, 2008, 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 .............................................................................................. 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 DEC region Site location ­ county 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)? If Yes, enter the percent of the qualified site located within an EN-Zone........................................ Mark an X in the box if you received notification from the the Department of State that the qualified site is located in a Brownfield Opportunity Area. Attach supporting documentation. . ............................... Will the qualified site be used primarily for manufacturing activities? .................................................. Yes Schedule B -- Site preparation credit component (see instructions)
A Description of site preparation costs B Date costs paid or incurred
(mm-dd-yy)

Yes

No %

No
C Costs

Total of column C amounts from attached list.................................................................................................... 1 Add column C amounts ...................................................................................................................... 1. 2 Applicable percentage rate (see instructions) ....................................................................................... 2. 3 Site preparation credit component (multiply line 1 by line 2; enter here and on line 13; New York S corporations, see instructions) .......................................................................................................... 3.

%

53301080094

Page 2 of 3

CT-611.1 (2008)

Schedule C -- Tangible property credit component (see instructions)
A Description of qualified property
(list items separately)

B Principal use

C Date placed in service
(mm-dd-yy)

(years)

D Life

E Cost or other basis

Total of column E amounts from attached list .................................................................................................... 4 Add column E amounts ...................................................................................................................... 4. 5 Applicable percentage rate (see instructions) ....................................................................................... 5. 6 Tentative tangible property credit component (see instructions) ........................................................... 6. Schedule D -- On-site groundwater remediation credit component (see instructions)
A Description of groundwater remediation costs B Date costs paid or incurred
(mm-dd-yy)

%

C Costs

Total of column C amounts from attached list.................................................................................................... 7 Add column C amounts ...................................................................................................................... 7. 8 Applicable percentage rate (see instructions) ....................................................................................... 8. 9 On-site groundwater remediation credit component (multiply line 7 by line 8; enter here and on line 15; New York S corporations, see instructions) ............................................................................................. 9.

%

Schedule E -- Recapture of credit taken in previous tax years (attach additional sheets if necessary, see instructions)
Recapture of tangible property credit component for property that ceases to be in qualified use:
A Description of property B C D Date property Date property Life was placed ceased (months) in service to qualify
(mm-dd-yy) (mm-dd-yy)

(months)

E Unused life

F Percentage
(col E ÷ col D)

G Tangible property credit component previously allowed

(column F x column G)

H Recaptured tangible property credit component

Total of column H amounts from attached list.................................................................................................... 10 Recaptured tangible property credit component (add column H amounts) .......................................... 10. Recapture if COC is revoked (see instructions): 11a Net tangible property credit component previously allowed (see instructions).................................... 11a. 11b Site preparation credit component previously allowed ..................................................................... 11b. 11c On-site groundwater remediation credit component previously allowed .......................................... 11c. 12 Enter line 10 amount or sum of lines 11a through 11c (enter here and on line 17; New York S corporations, see instructions) ........................................................................................................ 12. Credit summary (New York S corporations do not complete this section) 13 Site preparation credit component (from line 3) ................................................................................... 13. 14 Tentative tangible property credit component (from line 6) .................................................................. 14. 15 On-site groundwater remediation component (from line 9) .................................................................. 15. 16 Subtotal (add lines 13, 14, and 15) ....................................................................................................... 16. 17 Recapture of credit taken in previous tax years (from line 12) ........................................................... 17. 18 Net brownfield redevelopment credit (see instructions) ...................................................................... 18.

53302080094

CT-611.1 (2008) Page 3 of 3

Computation of brownfield redevelopment tax credit used, refunded, or credited as an overpayment in the next year (New York S corporations do not complete this section)
19 20 21 22 23 24 Tax due before credits (see instructions)............................................................................................... Tax credits claimed before the brownfield redevelopment tax credit (see instructions)....................... Subtract line 20 from line 19 .............................................................................................................. Minimum tax (see instructions) ............................................................................................................. Credit limitation (subtract line 22 from line 21; if zero or less, enter 0) ...................................................... Brownfield redevelopment tax credit to be used this tax year (enter the lesser of line 18 or line 23; transfer this amount to your franchise tax return) .................................................................................. 25 Unused brownfield redevelopment tax credit available for refund or as an overpayment (subtract line 24 from line 18) .......................................................................................................................... 26 Brownfield redevelopment tax credit to be refunded (limited to the amount on line 25) ........................ 27 Brownfield redevelopment tax credit to be credited as an overpayment in the next tax year (subtract line 26 from line 25) ............................................................................................................................
Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Partnership's EIN Site preparation costs Tangible property costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs Groundwater remediation costs

19. 20. 21. 22. 23. 24. 25. 26. 27.

Partnership information (attach additional sheets if necessary using the same format shown)
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................
Name of partnership

Costs allocated to taxpayer ..................

53303080094