Form Ct-1120 Hic - Hiring Incentive Tax Credit - State Of Connecticut Department Of Revenue Services 2000
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STATE OF CONNECTICUT
FORM CT-1120 HIC
DEPARTMENT OF REVENUE SERVICES
Hiring Incentive Tax Credit
(Rev. 12/00)
FOR INCOME YEAR
Beginning
2000, and Ending
CT TAX REGISTRATION NUMBER
Corporation Name
0 0 0
PURPOSE OF FORM
Complete Form CT-1120 HIC, Hiring Incentive Tax Credit, (formerly Form CT-1120 OC, Opportunity Certificate Credit ) to claim the credit
available for hiring a qualifying employee under Conn. Gen. Stat. §12-217y (as amended by 1999 Conn. Pub. Acts 203, §1 and 2000 Conn.
Pub. Acts 174, §25).
DEFINITIONS
A qualifying employee is any employee who, at the time of employment, has been receiving benefits from the temporary family assistance
program for more than nine months and meets other requirements that the Labor Commissioner may establish in Regulations adopted in
accordance with Chapter 54.
CREDIT COMPUTATION
Multiply the number of full calendar months worked by qualifying employees during the income year by $125 to determine the amount of
credit.
For the 2000 income year, a qualifying employee must work 30 hours per week. The number of hours per week an employee participates
in a job training program approved by the Labor Commissioner shall be included in calculating the number of hours the employee works.
This form must be accompanied by an approval letter issued by the Department of Labor (DOL). For further information contact DOL,
Program Support Unit, 200 Folly Brook Boulevard, Wethersfield CT 06109-1114, (860-263-6030), or see Informational Publication 95(2.1),
Guide to Connecticut Corporation Business Tax Credits, and Special Notice 2000(15), Connecticut Corporation Business Tax Credits
1999 - 2000 Update.
— This form must be attached to Form CT-1120 or Form CT-1120S —
PART I - HIRING INCENTIVE TAX CREDIT COMPUTATION (If additional lines are needed, attach a worksheet)
A
B
C
D
E
Qualifying Employee Name
Employee Social
Date of Hire
Number of Full
Column D
Security Number
Calendar Months
Multiplied by $125
E m p l o y e d
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Tax Credit: Add Lines 1 through 10, Column E. Enter here and on Form CT-1120K or Form CT-1120SK,
11.
Part I-D, Line 16.
NOTE: For credit carryforward instructions and schedule, refer to Part II on reverse side of this form.
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