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                                                                                                        Department of the Treasury
                                                                                                        Internal Revenue Service
Instructions for Form 4255

(Rev. December 2018)

(Use with the December 2016 revision of Form 4255.)
Recapture of Investment Credit

Section references are to the Internal Revenue Any property to which section 48(b),        Exceptions to recapture.   Recapture of 
Code unless otherwise noted.                   48A(b)(3), 48B(b)(3), or 48C(b)(2) applies    the investment credit does not apply to the 
                                               will no longer qualify as investment credit   following.
Future Developments                            property when placed in service.              A transfer because of the death of the 
                                               Before the end of the recapture period,     taxpayer.
For the latest information about               your proportionate interest was reduced       A transfer between spouses or incident 
developments related to Form 4255 and          by more than one-third in a partnership, S    to divorce under section 1041. However, a 
its instructions, such as legislation          corporation, estate, or trust that allocated  later disposition by the transferee is 
enacted after they were published, go to       the cost or other basis of property to you    subject to recapture to the same extent as 
IRS.gov/Form4255.                              for which you claimed a credit.               if the transferor had disposed of the 
                                               You received a grant under section          property at the later date.
Reminder                                       1603 of the American Recovery and             A transaction to which section 381(a) 
                                               Reinvestment Tax Act of 2009 for property     applies (relating to certain acquisitions of 
Form 4255 has been revised to reflect the      for which you were previously allowed an      the assets of one corporation by another 
computational steps required under             investment credit for qualified progress      corporation).
section 50(a)(1) and to provide additional     expenditures under section 48(d), and the     A mere change in the form of 
instructions on how to adjust the unused       amounts constituting the qualified basis      conducting a trade or business if:
portion (i.e., carryover) of a recaptured      for the credit are also the basis for the 
credit.                                        grant.                                          1. The property is retained as 
                                               You returned leased property (on which      investment credit property in that trade or 
An electing large partnership (under           you claimed a credit) to the lessor before    business, and
repealed section 775) with a fiscal taxable    the end of the recapture period.                2. The taxpayer retains a substantial 
year that began in 2017 must use Form          In the case of a project under the Phase    interest in that trade or business.
4255 (revised December 2016) and its           II or Phase III gasification program, failure   A mere change in the form of 
related instructions (revised December         at any time during the applicable recovery    conducting a trade or business includes a 
2016).                                         period (as defined in section 168(c)) to      corporation that elects to be an S 
                                               attain and maintain the separation and        corporation and a corporation whose S 
                                               sequestration requirements in section 
General Instructions                                                                         election is revoked or terminated.
                                               48B(d)(1)(B). For more information, see         For more details on the recapture rules, 
                                               Notice 2009-23, 2009-16 I.R.B. 802,           see section 50(a).
Purpose of Form                                available at IRS.gov/irb/
Use Form 4255 to figure the increase in        2009-16_IRB#NOT-2009-23; as modified                     See section 46(g)(4) (as in effect 
tax for the recapture of investment credit     by Notice 2011-24, 2011-14 I.R.B. 603           !        on November 4, 1990) to figure 
claimed and for the recapture of a             available at IRS.gov/irb/                     CAUTION    the recapture tax if you made a 
qualifying therapeutic discovery project       2011-14_IRB#NOT-2011-24; and                  withdrawal from a capital construction 
grant.                                         amplified by Notice 2014-81, 2014-53          fund set up under the Merchant Marine 
Credit Recapture Requirements                  I.R.B. 1001, available at IRS.gov/irb/        Act of 1936 to pay the principal of any 
                                               2014-53_IRB#NOT-2014-81.                      debt incurred in connection with a vessel 
and Special Rules                              In the case of a project under the Phase    on which you claimed investment credit.
Generally, you must refigure the               II or Phase III qualifying advanced coal 
investment credit and may have to              project program, failure during the           Recapture of Qualifying 
recapture all or part of it if any of the      applicable recovery period (as defined in     Therapeutic Discovery Project 
following apply.                               section 168(c)) to attain and maintain the 
You disposed of investment credit            separation and sequestration                  Grant
property before the end of 5 full years after  requirements in section 48A(e)(1)(G). For     If you received a grant under section 9023 
the property was placed in service (the        more information, see Notice 2009-24,         of the Affordable Care Act (ACA), you may 
recapture period).                             2009-16 I.R.B. 817, available at IRS.gov/     have to recapture it if the project for which 
You changed the use of the property          irb/2009-16_IRB#NOT-2009-24; as               the grant was awarded ceases to be a 
before the end of the recapture period so      modified by Notice 2011-24, and amplified     qualifying therapeutic discovery project. If 
that it no longer qualifies as investment      by Notice 2012-51, 2012-33 I.R.B. 150,        the amount of the grant is more than the 
credit property.                               available at IRS.gov/irb/                     amount allowable as a grant, the excess 
The business use of the property             2012-33_IRB#NOT-2012-51, and Notice           must be recaptured as if the investment to 
decreased before the end of the recapture      2015-14, 2015-10 I.R.B. 722, available at     which the excess portion of the grant 
period so that it no longer qualifies (in      IRS.gov/irb/2015-10_IRB#NOT-2015-14.          related had ceased to be a qualified 
whole or in part) as investment credit         A net increase in the amount of             investment immediately after the grant 
property.                                      nonqualified nonrecourse financing            was made.
Any building to which section 47(d)          occurred for any property to which section 
applies will no longer be a qualified          49(a)(1) applied. For more details, see the     The increase in tax for any recapture of 
rehabilitated building when placed in          instructions for Part II, later.              the grant is imposed on the person to 
service.                                                                                     whom the grant was made. In the case of 

Nov 13, 2018                                                Cat. No. 68759M



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pass-through entities (including               Partners, Shareholders, and                   Line 5. Multiply line 1 by line 4. If the 
partnerships, S corporations, estates, and                                                   credit for the property for which you must 
                                               Beneficiaries
trusts), the tax is determined at the entity                                                 refigure the credit was limited to a dollar 
level and allocated to the entity owners as    If you are a partner, shareholder, or 
a credit recapture.                            beneficiary and your Schedule K-1 shows       amount (for example, by the kilowatt limit 
                                               recapture of investment credit claimed in     in section 48(c)(1)(B)), do not enter more 
  To recapture a qualifying therapeutic        an earlier year, you will need your copy of   than the amount of the applicable limit on 
discovery project grant, skip lines 1–18       the original Form 3468 to complete this       line 5.
and complete line 19. For more                 form.                                         Line 6. Enter the total of all credits taken 
information, see Notice 2010-45, 2010-23                                                     for the property on Form 3800 in prior 
I.R.B. 734, available at IRS.gov/irb/                                                        years. But do not include the amount of 
2010-23_IRB#NOT-2010-45.                       Specific Instructions                         any credit previously recaptured due to an 
Carryover Adjustment on                        Lines A through D. Describe the               increase in nonqualified nonrecourse 
                                               property for which you must refigure the      financing.
Recapture                                      credit. Use the corresponding column for      Part II. Recapture From 
For property subject to investment credit      each property in Parts I, II, and III. If you 
recapture, reduce any remaining                need more property columns, use               Increase in Nonqualified 
carryforwards and carrybacks from the          additional Forms 4255 or other statements     Nonrecourse Financing
property by the recapture percentage           that include all the information shown on     Use Part II to figure any increase in tax for 
used for the property on line 15.              Form 4255. Enter the total from all the       the recapture of an investment tax credit 
                                               separate statements on lines 17 and 18.       under section 49.
Basis Adjustment on Recapture
For property subject to investment credit      Part I. Original Investment                     Generally, section 49(a)(1) applies to 
or qualifying therapeutic discovery project    Credit                                        property:
grant recapture, increase the property’s       Use Part I to refigure the original credit.   Placed in service by individuals or 
basis as follows.                                                                            certain closely held corporations during a 
For rehabilitation credit property,          Line 1. Enter the rate you used to figure     tax year in which they were engaged in 
qualifying advanced coal project property,     the original credit from the Form 3468 that   activities described in section 465, and
qualifying gasification project property,      you filed. For combined heat and power        Used in connection with an activity 
qualifying advanced energy project             system property, enter the effective rate     subject to the at-risk limitations under 
property, or depreciable qualifying            used to figure the original credit, taking    section 465.
therapeutic discovery project property,        into account the limit under section 48(c)
increase the basis by 100% of the amount,      (3)(B).                                         The credit base of this property for 
                                                                                             investment credit purposes may be limited 
attributable to each such property, of the     Line 2. Enter the credit base (cost or        if you borrowed against the property and 
recapture tax, adjustments to carrybacks       other basis) that you used to figure the      are protected against loss, or if you 
and carryforwards under section 39, or         original credit.                              borrowed money from a person who is 
adjustments to disallowed passive activity 
credits.                                       If section 49(a)(1) applied to the            related or who has an interest (other than 
For energy property, increase the basis      property and there was a net increase in      as a creditor) in the business activity. The 
by 50% of the amount, attributable to each     nonqualified nonrecourse financing with       credit base must be reduced by the 
such property, of the recapture tax,           respect to the property in previous tax       amount of any nonqualified nonrecourse 
adjustments to carrybacks and                  years, enter the credit base you used to      financing related to the property at the end 
carryforwards under section 39, or             figure the original credit, reduced by the    of the tax year.
adjustments to disallowed passive activity     amount of that net increase. If there was a     If, at the close of a tax year following 
credits. If the reason for recapture is due    net decrease in nonqualified nonrecourse      the year property described in section 
to receipt of a grant under section 1603 of    financing with respect to the property in     49(a)(1) was placed in service, the 
the American Recovery and Reinvestment         previous tax years, enter the credit base     nonqualified nonrecourse financing for the 
Act of 2009, the basis of the energy           you used to figure the original credit,       property has increased or decreased, then 
property is reduced by 50% of the grant        increased by the amount of that net           the credit base for the property changes 
received.                                      decrease. For more details, see the           accordingly. The changes may result in an 
                                               instructions for Part II.                     increased credit or a recapture of the 
  If you are a partner or S corporation        Line 3. If section 49(a)(1) did not apply to  credit in the year of the change. See 
shareholder, adjust the basis of your          the property, enter -0-. If section 49(a)(1)  sections 49 and 465 for details.
interest in the partnership or stock in the S  applied to the property, enter the net        Line 8. If the original credit had been 
corporation to take into account the           change in nonqualified nonrecourse            figured using the current-year tax base in 
adjustment made to the basis of property       financing related to the property during the  the year the property was first placed in 
held by the partnership or S corporation.      tax year. Enter a net increase in             service, you may have been able to use 
                                               nonqualified nonrecourse financing as a       other general business credits instead. 
  For more information, see section 50(c)      positive number. Enter a net decrease in      Use Worksheet 1 to calculate the amount 
and Regulations section 1.469-3(f).            nonqualified nonrecourse financing as a       of unused general business credits that 
Partnerships, S Corporations,                  negative number. For more information         would have been allowed under section 
                                               about section 49, see the instructions for    38.
Estates, and Trusts                            Part II.
A partnership, S corporation, estate, or                                                             When making this calculation, 
trust that allocated any or all of a qualified Line 4. Subtract line 3 from line 2.          TIP     include any general business 
investment to its partners, shareholders,              If line 3 is negative, then the entry         credits that could have been 
or beneficiaries, must provide the             TIP     on line 4 will be larger than the     carried forward or carried back to a year 
information they need to refigure the                  entry on line 2.                      affected by the recapture of the original 
credit. See Regulations sections 1.46-3(f),                                                  credit. Do not include any credits that were 
1.47-4(a) and (c), 1.47-5, and 1.47-6.                                                       previously recaptured. If you previously 

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Worksheet 1
Use Worksheet 1 to calculate the amount of unused general business credits that would have been allowed instead of the credit from 
the recapture property. If you need to account for more than five years, complete Steps 4 through 6 for those years on additional 
copies of the worksheet. Include the total for all years on Step 7.
                                                                       First 
                                                                       Year       Year       Year     Year    Year 
Steps                                                                  ______ ______         ______   ______  ______     Total
Step 1. Identify the first year that the aggregate amount of credit 
allowed for the property was more than the amount on line 5. 
Enter the excess as a positive number                                  ______
Step 2. Figure the amount of other general business credits that 
could have been used in that year had the amount in Step 1 not 
been allowed. Enter the result as a positive number                    ______
Step 3. Subtract any general business credits that were actually 
allowed in any previous tax year from the result of Step 2             ______                                            ______
Step 4. For the following year, figure the reduction in general business 
credits that would have been allowed for that year if:
1. No amount on line 7 had been allowed as a credit, and
2. Any other credits were used as calculated in Step 2 above                  ______         ______   ______  ______
Step 5. Figure the amount of other general business credits that would have 
been allowed to offset the reduction figured in Step 4                        ______         ______   ______  ______
Step 6. Subtract any general business credits that were actually allowed in 
any previous tax year from the result of Step 5                               ______         ______   ______  ______     ______
Step 7. Repeat Steps 4 through 6 above for each of the following tax years. Then add the amount from Step 3 to the 
amount from each iteration of Step 6. Enter the result on line 8                                                         ______

used the credit to offset the recapture of a  Unused credits other than “specified           Line 13. If you had never taken the 
credit on another property, treat it as a     credits” (as defined in section 38(c)(4)(B))   recaptured credit, you may have been 
credit allowed in a previous tax year.        and eligible small business credits            able to use other general business credits 
                                              (ESBCs) can be used in the calculation of      instead. Use Worksheet 2 to calculate the 
Multiple recapture properties.         If you line 8 taking into account the limitation      amount of unused general business 
are recapturing investment credits from       under section 38(c)(1)(A).                     credits that would have been allowed 
multiple properties in Part II, complete                                                     under section 38.
Form 4255, line 7, for each property          Part III. Recapture From 
before using Worksheet 1. Then fill out       Disposition of Property or                            When making this calculation, 
Worksheet 1, reapplying any allowable         Cessation of Use as Investment                 TIP    include any general business 
                                                                                                    credits that could have been 
investment credits as if no credit had been   Credit Property                                carried forward or carried back to a year 
allowed for any of the properties in excess 
of the refigured credit for that property on  Use Part III to figure any increase in tax for affected by the recapture of the original 
line 5. As you complete the worksheet,        the recapture of an investment tax credit      credit. Do not include any credits that were 
separately identify the amount of unused      or qualified therapeutic discovery grant       previously recaptured. If you previously 
general business credits that could have      under section 50.                              used the credit to offset the recapture of a 
been used instead of the excess credit        Line 10. Enter the date (month/day/year)       credit on another property, treat it as a 
from each property. If an unused general      on which the property was placed in            credit allowed in a previous tax year.
business credit could have been used          service, using the first day of the month in 
instead of the excess credit from more        which the property was placed in service.      Multiple recapture properties.        If you 
than one property (for example, the           For example, if the property was placed in     are recapturing investment credits from 
amount figured in Step 1 or Step 3 for a      service on February 20, 2016, enter            multiple properties in Part III, complete 
single year is attributable to more than one  02/01/2016 on line 10. See Regulations         Form 4255, line 6, for each property 
property), apply the unused credit to the     section 1.47-1(c) for more information.        before using Worksheet 2. Then fill out 
property with the highest original credit                                                    Worksheet 2, reapplying any allowable 
rate on line 1. When completing Step 7,       Line 11. Generally, this will be the date      investment credits as if no credit had been 
add the amounts from Steps 3 and 6            you disposed of the property. For more         allowed for any of the properties. As you 
separately by property and enter the          details, see Regulations section 1.47-1(c).    complete the worksheet, separately 
results in the corresponding property         Line 12. Do not enter partial years. If the    identify the amount of unused general 
column of line 8.                             property was held less than 12 months,         business credits that could have been 
        Disallowed passive activity credits   enter -0-. In case of failure to attain or     used instead of the recaptured credit from 
                                              maintain the separation and sequestration      each property. If an unused general 
!       (as defined in section 469(d)(2))     requirements applicable to a Phase II or III   business credit could have been used 
CAUTION can be used in the calculation of 
line 8 only to the extent that credits from   gasification program or a Phase II or III      instead of a recaptured credit from more 
passive activities are included in the        advanced coal program, enter -0-. If a         than one property (for example, the 
credits subject to recapture.                 grant was received under section 1603 of       amount figured in Step 1 or Step 3 for a 
                                              the American Recovery and Reinvestment         single year is attributable to more than one 
                                              Act of 2009, enter -0-.                        property), apply the unused credit first to 

Instructions for Form 4255 (Rev. 12-2018)                           -3-



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Worksheet 2
Use Worksheet 2 to calculate the amount of unused general business credits that would have been allowed under section 38 had 
there been no credit from the recapture property. If you need to account for more than five years, complete Steps 4 through 6 for those 
years on additional copies of the worksheet. Include the total for all years on Step 7.
                                                                       First 
                                                                       Year       Year    Year   Year   Year
Steps                                                              ______        ______   ______ ______ ______           Total
Step 1. Identify the first year that an amount from line 6 was 
allowed as a credit. Enter that amount as a positive number        ______
Step 2. Figure the amount of other general business credits that 
could have been used in that year had the amount in Step 1 not 
been allowed. Enter the result as a positive number                ______
Step 3. Subtract any general business credits that were actually 
allowed in any previous tax year from the result of Step 2         ______                                                ______
Step 4. For the following year, figure the reduction in general business 
credits that would have been allowed for that year if:
1. No amount on line 6 had been allowed as a credit, and
2. Any other credits were used as calculated in Step 2 above                     ______   ______ ______ ______
Step 5. Figure the amount of other general business credits that would have 
been allowed to offset the reduction figured in Step 4                           ______   ______ ______ ______
Step 6. Subtract any general business credits that were actually allowed in 
any previous tax year from the result of Step 5                                  ______   ______ ______ ______           ______
Step 7. Repeat Steps 4 through 6 above for each of the following tax years. Then add the amount from Step 3 to the 
amount from each iteration of Step 6. Enter the result on line 13                                                        ______

the property with the highest recapture      IF the number of full THEN the recapture     Kumar increases his basis for property A 
percentage on line 15. When completing       years on line 12 of   percentage is . . .    by $60,000 ($21,600 + $38,400).
Step 7, add the amounts from Steps 3 and     Form 4255 is . . .
                                                                                             Example 2. The facts are the same as 
6 separately by property and enter the                 0                     100          in Example 1, except that Kumar also 
results in the corresponding property                  1                     80           earned a rehabilitation credit on property 
column of line 13.
                                                       2                     60           B in 2016 of $12,000, which he did not use 
        Disallowed passive activity credits            3                     40           to offset his tax. As before, he disposed of 
!       (as defined in section 469(d)(2))              4                     20           property A in June of 2018. He enters 
CAUTION can be used in the calculation of       5 or more                    0            $36,000 on line 6 (the credit from property 
line 13 only to the extent that credits from                                              A used in 2016 and 2017). However, 
passive activities are included in the                                                    Kumar could have used his $12,000 of 
credits subject to recapture.                Line 16.  Multiply the amount on line 14 by  unused credit from property B for 2016 
                                             the percentage on line 15 to calculate the   against his 2016 tax had no credit been 
Unused credits other than “specified         recapture tax due to disposition or          available from property A. Therefore, he 
credits” (as defined in section 38(c)(4)(B)) cessation of use as an investment credit     enters $12,000 on line 13 and $24,000 
and eligible small business credits          property.                                    ($36,000 - $12,000) on line 14. Kumar’s 
(ESBCs) can be used in the calculation of                                                 total increase in tax for 2018 is $14,400 
line 13 taking into account the limitation      Example 1.     In 2016, Kumar earned a    (60% of $24,000). His remaining credit 
under section 38(c)(1)(A).                   rehabilitation credit of $100,000 on         carryforward for property A also is 
Line 14. Subtract line 13 from line 6 to     property A. Kumar used $20,000 of the        reduced by the recapture percentage of 
calculate the aggregate decrease in          credit to offset tax in 2016 and used        60%. Kumar’s remaining carryforward is 
general business credits that would have     $16,000 as a carryforward to offset tax in   $25,600 (40% of $64,000). Kumar 
been allowed under section 38 had there      2017. He had $64,000 remaining               increases his basis for property A by 
been no credit from this property.           carryforward for property A at the end of    $52,800 ($14,400 + $38,400).
                                             2017. Kumar has no other tax credits for 
Line 15. Enter the recapture percentage      other properties for any other years.           Example 3. In January of 2016, 
                                                                                          Maayan earned a rehabilitation credit of 
from the following table. Enter 100 if you      Kumar disposed of the property in June    $100,000 from property A. She used all of 
received a grant under section 1603 of the   of 2018. His recapture percentage is 60%.    the credit to offset $100,000 of tax in 
American Recovery and Reinvestment Act       Because Kumar has no other credits for       2016. In 2017, Maayan earned a 
of 2009.                                     properties for other years, he enters -0- on rehabilitation credit of $75,000 from 
                                             line 13. He enters $36,000 on line 6 (the    property B and used none of the credit to 
                                             credit from property A used in 2016 and      offset tax. In June of 2018, property A 
                                             2017). Kumar’s total increase in tax for     ceased to be investment credit property 
                                             2018 is $21,600 (60% of $36,000). His        and Maayan must refigure the credit from 
                                             remaining credit carryforward for property   property A. Her recapture percentage is 
                                             A also is reduced by the recapture           60%. She enters $100,000 on line 6. 
                                             percentage of 60%. Kumar’s remaining         However, Maayan could have carried the 
                                             carryforward is $25,600 (40% of $64,000).    rehabilitation credit of $75,000 from 

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property B back to 2016 had no credit        grant required to be recaptured under         control number. Books or records relating 
been available from property A. Therefore,   section 9023(e) of the ACA.                   to a form or its instructions must be 
she enters $75,000 on line 13 and            Do not complete lines 1 through 18 to         retained as long as their contents may 
$25,000 ($100,000 - $75,000) on line 14.     figure this increase in tax. Attach a         become material in the administration of 
Maayan’s total increase in tax for 2018 is   statement showing how you figured the         any Internal Revenue law. Generally, tax 
$15,000 (60% of $25,000). She increases      increase in tax. Do not adjust the increase   returns and return information are 
her basis in property A by $15,000.          in tax for any unused investment credit.      confidential, as required by section 6103.
Example 4. In 2016, Ian earned a             Partnerships, S corporations, estates,        The time needed to complete and file 
rehabilitation credit of $100,000 from       and trusts, determine the increase in tax at  this form will vary depending on individual 
property A. Ian used $1,000 of the credit    the entity level. This amount will be         circumstances. The estimated burden for 
to offset tax in 2016 and used $99,000 as    allocated to the entity owners as a credit    individual and business taxpayers filing 
a carryforward to offset tax in 2017. In     recapture.                                    this form is approved under OMB control 
2018, he earned a rehabilitation credit of                                                 number 1545-0074 and 1545-0123 and is 
                                             Line 20. Enter the line 20 amount on the 
$75,000 from property B and used none of                                                   included in the estimates shown in the 
                                             appropriate line of your tax return (for 
the credit to offset tax.                                                                  instructions for their individual and 
                                             example, 2018 Form 1120, Schedule J, 
                                                                                           business income tax returns. The 
On February 1, 2018, property A              line 9a). Partnerships, enter the amount 
                                                                                           estimated burden for all other taxpayers 
ceased to be investment credit property      from line 20 on Form 1065, Schedule K, 
                                                                                           who file this form is shown below.
and Ian must refigure the credit from        line 20c, using code H. See the 
property A. His recapture percentage is      Instructions for Form 1065 for more 
80%. He enters $100,000 on line 6. No        information on how to allocate this amount    Recordkeeping            6 hr., 27 min.
carryback or carryforward credits are        to the partners. S corporations, enter the 
available for 2016 to offset the $1,000      amount from line 20 on Form 1120S,            Learning about the 
credit used for property A. However, Ian     Schedule K, line 17d, using code G. See       law or the form          1 hr., 35 min.
could have carried the rehabilitation credit the Instructions for Form 1120S for more      Preparing and 
of $75,000 from property B back to 2017      information. Estates and trusts, enter the    sending the form to 
had no credit been available from property   amount from line 20 on Form 1041,             the IRS                  1 hr., 46 min.
A that year. Therefore, he enters $75,000    Schedule G, line 5. See the Instructions 
on line 13 and $25,000 ($100,000 -           for Form 1041 for more information.
$75,000) on line 14. Ian’s total increase in 
tax for 2018 is $20,000 (80% of $25,000).    Paperwork Reduction Act Notice.       We      If you have comments concerning the 
He increases his basis in property A by      ask for the information on this form to carry accuracy of these time estimates or 
$20,000.                                     out the Internal Revenue laws of the          suggestions for making this form simpler, 
Lines 17 and 18. If you used separate        United States. You are required to give us    we would be happy to hear from you. See 
statements to list additional properties,    the information. We need it to ensure that    the instructions for the tax return with 
write to the left of the entry space “Tax    you are complying with these laws and to      which this form is filed.
from attached” and the total tax from the    allow us to figure and collect the right 
separate statements. Include the amounts     amount of tax.
from these statements in the totals for 
                                             You are not required to provide the 
lines 17 and 18, respectively.
                                             information requested on a form that is 
Line 19. Enter the amount of any             subject to the Paperwork Reduction Act 
qualifying therapeutic discovery project     unless the form displays a valid OMB 

Instructions for Form 4255 (Rev. 12-2018)                  -5-






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