Film Incentive Application

Production Information

Project Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Point of Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Executive Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Head Accountant: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Local Principal Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Production Co./Studio: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Local Extras Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please check this box certifying that the production is intended for exhibition and reasonable commercial exploitation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

PRODUCTION DESCRIPTION: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Brief synopsis of the project:

Production Company

(The entity that will be registered with the state to claim the tax rebate.) The name on this application must match exactly the name registered with the Secretary of State.
*Company Name:

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Permanent Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Type of Entity

Federal Tax I.D. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State of Incorporation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Fiscal Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Local Production Office

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Web Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

What is your current income Tax Liability in the state of Kentucky? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Funding

Is project fully funded? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If not, what percentage of funding has been secured? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Bank of Account {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Principal Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is bank of account also the lender for this project? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

If not, please provide the following:

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Filming Location

County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

KY Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

i.e. June 1 - June 28

Total # of Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

KY Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

i.e. June 29 - July 1

Total # of Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

i.e. July 2 - August 1

Total # of Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If shooting in another location other than Kentucky, please list location and dates: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Total Number of Above the Line Cast/Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Compensation for Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Compensation for Non-Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Total Number of Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Compensation for Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated Compensation for Non-Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Anticipated total Kentucky eligible expenditures: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

(Not including Cast & Crew compensation)

Certification

By submitting this application, I certify that the production does not violate a provision of K.R.S. 148.542 thru K.R.S. 148.548. I agree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

By submitting this application, I certify that the production is intended for exhibition and reasonable commercial exploitation. I agree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

By submitting this application, I certify that the production, if a long-form narrative, will have an onscreen credit from the Commonwealth of Kentucky. I agree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Agent Authorized to Sign for Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

I hereby state that the above information given is complete and correct, and that no false or misleading information or false statements have been given. All estimates are reliable to the best of my knowledge and I have the full authority to represent the applicant/production company and the project described above. I agree {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Film Incentive Application

Production Information

Project Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Point of Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Executive Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Head Accountant: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Principal Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Production Co./Studio: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Extras Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please check this box certifying that the production is intended for exhibition and reasonable commercial exploitation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PRODUCTION DESCRIPTION: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Production Company

(The entity that will be registered with the state to claim the tax rebate.) The name on this application must match exactly the name registered with the Secretary of State.
*Company Name:

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Type of Entity

Federal Tax I.D. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State of Incorporation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fiscal Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Production Office

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Web Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What is your current income Tax Liability in the state of Kentucky? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Funding

Is project fully funded? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If not, what percentage of funding has been secured? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Bank of Account {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is bank of account also the lender for this project? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Filming Location

County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

KY Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

KY Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If shooting in another location other than Kentucky, please list location and dates: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Total Number of Above the Line Cast/Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Non-Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total Number of Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Non-Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated total Kentucky eligible expenditures: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Certification

{binding displayValue}

Agent Authorized to Sign for Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Film Incentive Application

Production Information

Project Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Point of Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Executive Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Head Accountant: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Producer(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Principal Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Production Co./Studio: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Extras Casting Director: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Please check this box certifying that the production is intended for exhibition and reasonable commercial exploitation. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

PRODUCTION DESCRIPTION: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Production Company

(The entity that will be registered with the state to claim the tax rebate.) The name on this application must match exactly the name registered with the Secretary of State.
*Company Name:

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Type of Entity

Federal Tax I.D. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State of Incorporation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Fiscal Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Local Production Office

Company Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Web Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

What is your current income Tax Liability in the state of Kentucky? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Funding

Is project fully funded? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If not, what percentage of funding has been secured? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Bank of Account {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Is bank of account also the lender for this project? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Permanent Business Address: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

City {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

State/Province {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Postal Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Principal Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Filming Location

County {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

KY Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Prep Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

KY Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Shoot Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total # of Post-Production Days {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If shooting in another location other than Kentucky, please list location and dates: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Total Number of Above the Line Cast/Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Non-Resident Above the Line: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Total Number of Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated Compensation for Non-Resident Below the Line Crew: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Anticipated total Kentucky eligible expenditures: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Certification

{binding displayValue}

Agent Authorized to Sign for Company: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Title: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}