Form N-884 - Credit For Employment Of Vocational Rehabilitation Referrals With Instructions

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STATE OF HAWAII
DEPARTMENT OF TAXATION
FORM
TAX
CREDIT FOR EMPLOYMENT OF
N-884
YEAR
VOCATIONAL REHABILITATION REFERRALS
(REV. 2001)
20_ _
Or fiscal year beginning ____________, 20 ___, and ending __________, 20___
ATTACH THIS FORM TO YOUR INCOME TAX RETURN
Name(s) as shown on return
Social Security or Federal Employer I.D. Number
Qualified first-year
Approved
wages paid this year
Employee name(s)
employment
Employee Social
(not over $6,000
starting date
Security Number
per employee)
1
2
Total qualified first-year wages paid this year............................................................................................................
2
Current year jobs credit __ Enter 20% of line 2 here. You must subtract this amount from the deduction on your
3
return for salaries and wages.....................................................................................................................................
3
If you are a __
Then enter total of current year jobs credit(s) from __
a Partner ............
Schedule K-1 (Form N-20), line 17 ....................
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Flow-through jobs credits
}
b Shareholder ....
Schedule K-1 (Form N-35), line 12f ...................
from other entities
.......
c Beneficiary ......
Schedule K-1 (Form N-40), line 10 ....................
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d Patron .............
Statement from cooperative...............................
5
Carryover of tax credit from prior years .....................................................................................................................
5
6
Total tax credit claimed. Enter here and on Schedule CR, line 5 (for Form N-11, N-12, N-15, N-30, and
N-70NP filers). (Partnerships, S corporations, estates, trusts, and cooperatives, see Instructions.)........................
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NOTE: Excess tax credit may be used as a carryover in subsequent years until exhausted.
The employer must retain approved certification forms for the above employees for audit purposes.
(See reverse for Instructions)
FORM N-884

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