Form 5735
(Rev. January 2013)
Department of the Treasury
Internal Revenue Service
American Samoa Economic Development Credit
See the separate instructions.
Attach to the corporation’s tax return.
OMB No. 1545-0217
For calendar year 20 , or other tax year beginning , 20 , and ending , 20
.
Name Employer identification number
Caution: The corporation must meet the qualified production activities income requirement (see instructions) to qualify
for the American Samoa economic development credit.
1
Enter 60% of qualified compensation . . . . . . . . . . . . . . . . . . . . .
1
2 Enter 15% of the depreciation deduction for short-life qualified tangible property . . . . . . .
2
3
Enter 40% of the depreciation deduction for medium-life qualified tangible property . . . . . .
3
4
Enter 65% of the depreciation deduction for long-life qualified tangible property . . . . . . .
4
5
Tentative credit. Add lines 1 through 4 . . . . . . . . . . . . . . . . . . . . .
5
6
Total U.S. income tax against which credit is allowed . . . . . . . . . . . . . . . .
6
7
American Samoa economic development credit. Enter the smaller of line 5 or line 6. Enter the
result here and on Form 1120, Schedule J, line 5b, or the corresponding line of other returns (see
instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 12090G
Form 5735 (Rev. 1-2013)
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