Fillable Printable Form 1-Schedule Cb
Fillable Printable Form 1-Schedule Cb
Form 1-Schedule Cb
File pg. 6
Schedule Z Other Credits. Enclose with Form 1 or Form 1-NR/PY. Do not cut or separate these schedules. 2014
PART 1. CREDITS
1 Lead Paint (you must enclose Schedule LP). Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1
a. Total number of units in line(s) 1a and 3a of Schedule LP. . . . . . . . . . . . 3 1a
2 Economic Opportunity Area (you must enclose Schedule EOAC). Not less than “0”
Economic Development Incentive Program
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 2
3 Septic (you must enclose Schedule SC). Not less than “0” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3
4 Brownfields. Not less than “0”
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 4
5 Low-Income Housing. Not less than “0”
Building identification number . . . . . . . . . . . . . . 3 . . . . . . . 3 5
6 Historic Rehabilitation. Not less than “0”
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 6
7 Film Incentive. Not less than “0”
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 7
8 Medical Device. Not less than “0”
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 8
9 Employer Wellness Program credit
Certificate number . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . 3 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
applicable. Full-year residents, also complete lines 11 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
PART 2. CREDITS FOR FULL-YEAR AND PART-YEAR RESIDENTS ONLY
11 Income tax paid to another state or jurisdiction (from worksheet). Not less than “0” . . . . . . . . . . . 3 11
Enter two-letter state or jurisdictional postal code. . . 333
12 Solar and wind energy (you must enclose Schedule EC). Not less than “0” . . . . . . . . . . . . . . . . . . . 3 12
PART 3. TOTALS
13 Add lines 11 and 12. Not less than “0”. Part-year residents, enter the result here and on Form
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
Form 1, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Schedule RF Other Refundable Credits
1 Refundable film credit (you must enclose Schedule RFC). Not less than “0” . . . . . . . . . . . . . . . . . . . 3 1
2 Refundable dairy credit (see instructions)
Not less than “0”. Certificate number . . . . . . . . . 3 . . . . . . . 3 2
3 Refundable conservation land tax credit
Not less than “0”. Certificate number . . . . . . . . . 3 . . . . . . . 3 3
4 Refundable community investment tax credit
Not less than “0”. Certificate number . . . . . . . . . 3 . . . . . . . 3 4
5 Total refundable credits. Add lines 1 through 4. Not less than “0”. Enter result here and on Form 1,
line 42 or Form 1-NR/PY, line 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
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FIRST NAME M.I. LAST NAME
SOCIAL SECURITY NUMBER
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