Form Dr 0074 PDF Details

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QuestionAnswer
Form NameForm Dr 0074
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesSLV, advancecolorado, Larimer, ItC

Form Preview Example

DR 0074 (09/04/13)

COLORADO DEPARTMENT OF REVENUE

Denver, CO 80261-0005

*130074==19999*

Pre-certiication of Qualiied

Enterprise Zone Business

Instructions

Note — Beginning January 1, 2012, pre-certiication is required prior to performing activities that are eligible for Enterprise Zone income tax credits. Both pre-certiication and the typical certiication process can now be facilitated electronically through the Colorado Department of Economic Development's Enterprise Zone Web page

WWW.ADVANCECOLORADO.COM/EZ.

Pre-certiication

After reading and signing the afirmation statement for your business, give the form to your Enterprise Zone Administrator. Enterprise Zone Administrators will sign their afirmation statement and return the form to the business.

Certiication Instructions: All claimants must complete Section I. Complete any part of Section II, including business address, that applies to your tax situation.

If you have more than one business location in this enterprise zone that requires precertiication, attach a list of business locations to this form.

Complete this form only if you cannot do so electronically. Electronic submissions reduce errors that may delay the processing of your applications and income tax returns.

For a list of Enterprise Zone Administrators visit

WWW.ADVANCECOLORADO.COM/EZ

I certify that I am aware of the Enterprise Zone program, that Enterprise Zone tax credits are a contributing factor to the startup, expansion or relocation of my business in the Enterprise Zone, and I acknowledge that this pre-certiication is for activities that shall commence after the date that the Enterprise Zone administrator signs this form to pre-certify, through the end of my business’s current income tax year.

Business Owner or Authorized Company Oficial Signature

Date (MM/DD/YY)

I hereby certify to the State of Colorado, Department of Revenue, that the above named facility is entirely within the designated Enterprise Zone; and hereby pre-certify this business in my Enterprise Zone.

Enterprise Zone Administrator

Section I

Date (MM/DD/YY)

For tax years beginning after August 6, 2002, this certification is public record and copies will be available from the enterprise zone administrator.

Check here if this certiication is for an earlier tax year and is a conidential tax document:

Tax Year Beginning (MM/YY)

This form certiies that your facility is located within the boundaries of a Colorado Enterprise Zone, and collects information required by §39-30-103(4), C.R.S.

To claim the Colorado Enterprise Zone income tax beneits:

Calculate your Colorado Enterprise Zone Tax Credits, following the instructions on Form 112CR (Corporation), 106CR (Partnership/S Corp), or 104CR (Individual).

If iling electronically, you can expect an email from your Enterprise Zone Administrator within 3–4 business days of submission. Or, if you must ile on paper and would like a copy of this form returned to you by the Enterprise Zone Administrator, be sure to enclose a self-addressed stamped envelope.

Do not send this form to the Department of Revenue or Ofice of Economic Development and International Trade for Certiication.

Submit a copy of the certiied form when you ile your Colorado Income Tax return. Certiication is not required for an Enterprise Zone Investment Tax Credit of less than $450. A new form is required each year you claim Colorado Enterprise Zone Tax Credits.

Note to "S" Corporation and Partnership ilers: Please provide to all appropriate partners and shareholders a copy of the certiicate along with a calculation of their proportionate share of any enterprise zone credits claimed and attach a copy of the DR 0078A to specify the partner/shareholder name, ID number and amount of credit passed through to them.

 

 

 

 

 

 

 

 

 

 

 

 

 

*130074==29999*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section II

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Claimants must complete this information.

 

 

 

 

 

 

 

Check here if a certiication has been iled

 

 

 

Tax Year Ending (MM/YY)

for this facility in a prior year:

 

 

 

 

 

 

 

 

 

 

 

Enterprise Zone

 

 

 

 

 

 

 

Type of Business (retail, mfg, farm, etc)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address —Actual Location of Facility

 

City

 

 

 

 

State

Zip

 

 

 

 

 

 

 

 

 

 

NAICS code from www.census.gov/naics

Colorado

Account Number

 

 

SSN or FEIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date facility began operations at this location

 

 

Business Phone Number

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did this facility relocate from another Colorado location?

Yes

No

The following information is required regardless of whether or not any jobs credits are being claimed. For statistical purposes, self-employed owners and partners working in the business should be counted here, even if they do not qualify as "employees" for other tax purposes.

Number of owners/workers/employees at facility beginning of tax year

Number at end of tax year

 

 

 

 

 

 

 

Change in total (end of year – beginning)

 

Number of employees transferred from another Colorado facility owned by taxpayer to this facility

 

 

 

 

Note: The following section on average

compensation is not required if it will reveal the compensation paid to any

individual employee.

 

 

 

 

Employee Category

 

Number of Employees

Average Annual

Average Hourly

 

Compensation including

Compensation including

(as deined by employer)

 

 

in category

 

 

beneits per employee

beneits per employee

 

 

 

 

Full-time employees

 

 

 

 

 

 

 

 

 

 

 

Part-time employees

 

 

 

 

 

 

 

 

 

 

 

Temporary employees

 

 

 

 

 

 

 

 

 

 

 

Contract employees

 

 

 

 

 

 

 

 

 

 

 

Investment Tax Credit (ITC)

If this was an in-state relocation, no ITC or job training credit is allowed on investment associated with the relocation unless the new facility meets the criteria in New Business Facility "Qualiied Expansion" section (2) below.

Total capital investment in zone during year

$

 

Capital investment qualifying for ITC during year

$

 

Amount of 3% EZ Investment Tax Credit claimed

$

 

Job Training Tax Credit

 

Number of employees trained

Amount of 10% EZ Job Training Tax Credit claimed

 

 

$

 

 

*130074==39999*

New Business Facility Jobs Credit

Number of qualifying new business

facility jobs

Were the

qualifying employees leased

 

Yes

No

 

 

from another company?

 

 

 

 

 

 

Amount of new business facility jobs tax credit claimed

 

 

 

$

 

 

 

 

 

 

 

 

 

 

Amount of agricultural processing new business facility jobs tax credit claimed

$

 

 

 

 

 

 

 

 

 

 

Amount of health insurance new business facility jobs tax credit claimed

$

 

 

 

 

 

 

 

 

 

 

Enhanced Rural EZ credits:

 

 

 

Qualiied County

 

 

 

 

 

 

 

 

 

 

Enhanced new business facility jobs tax credit claimed

 

 

 

$

 

 

 

 

 

 

 

 

 

 

Enhanced agricultural processing NBF jobs tax credit claimed

 

$

 

 

 

 

 

 

 

 

 

 

To claim new jobs credits, you must qualify under one of the following three criteria

 

 

 

 

 

 

 

 

 

 

1. If qualifying new business facility:

 

a. Give date facility was established (MM/DD/YY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. If qualifying expansion new business facility

 

a. Give date of qualiication (MM/DD/YY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$1,000,000 investment

10 employee increase over preceding

 

b. Was qualiication a result of

12 month average

 

 

 

 

 

 

 

 

 

 

100% investment increase

10 percent employment increase over

 

 

 

 

preceding 12 month average

 

 

 

 

 

 

 

 

 

3. If qualifying replacement new business facility

 

a. Give date of qualiication (MM/DD/YY)

 

 

 

 

 

 

 

 

 

b. Was qualiication a result of

$3,000,000 investment or

300% investment increase

 

 

 

 

 

 

 

 

 

 

Taxpayer Signature

 

 

 

 

 

 

I declare that all of the above information is true and correct to the best of my knowledge and belief.

 

 

Signature of Authorized Company Oficial/Owner

 

Print Name

 

 

 

 

Title

Business Name

 

 

 

 

 

Tax preparer or other contact for follow up information (please print)

Fax Number

 

 

(

)

E-mail address

Date (MM/DD/YY)

Colorado Account Number, FEIN or SSN

Phone Number

()

Certiication by Zone Administrator

I, the duly authorized administrator of the above-mentioned Enterprise Zone, hereby certify to the State of Colorado, Department of Revenue that the above named facility is entirely within the designated Enterprise Zone.

Effective Date of Zone for the Location (MM/DD/YY)

Signature of Zone Administrator

Date (MM/DD/YY)

For more information about Enterprise Zone, contact the agencies listed below:

Colorado Department of Revenue

Colorado Ofice of Economic Development

Denver, CO 80261-0005

and International Trade

Phone: 303-238-SERV (7378)

1625 Broadway, Suite 2700

See "FYI" Publications for additional information:

Denver, CO 80202

www.TaxColorado.com

Phone: 303-892-3840

 

www.AdvanceColorado.com/EZ

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