Affidavit To Support The San Francisco Summer Youth Employment Tax Credit

ADVERTISEMENT

AFFIDAVIT TO SUPPORT THE SAN FRANCISCO
SUMMER YOUTH EMPLOYMENT TAX CREDIT
A. We certify that the Youths for whom this Tax Credit is claimed were not younger
than 14 years of age and not older than 21 years of age at the time they were
employed in the summer jobs claimed.
B. We certify that the summer jobs claims were created after the second Monday of
May of the calendar year and before July 1 of that calendar year. We further certify
that the work for the summer jobs was done after the second Sunday of May of the
calendar year and before the second Sunday of September of that calendar year.
C. We certify that the Youths claimed as Disadvantaged Youths had family incomes
of not greater than 80% of median family income guidelines as stipulated in the
most recently published estimate of median family income for San Francisco by the
United States Department of Housing and Urban Development or successor
agency.
D. We understand that the facts supporting our application for the Summer Youth
Employment Tax Credit, as set forth in this Affidavit and on the attached worksheet
may be audited by the San Francisco Tax Collector.
We declare, under penalty of perjury, that we have examined this statement and the
accompanying document, and that the information contained herein are true and
complete to the best of our knowledge and belief.
Business Name:
Business Tax ID Number:*
Certificate Number:*
Signed:
Date:
_____/____/_____
Title:
Business Phone: (
)
h\sumyouth\affidav
ar-2/28/002:26 PM

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2