Form 332 Draft - Credit For Healthy Forest Enterprises

Credit for Healthy Forest Enterprises

ARIZONA FORM

2010

332

For the calendar year 2010 or

M M D D Y Y Y Y

ﬁ scal year beginning

and ending

All healthy forest credit forms must be attached to your return.

ALL BUSINESSES MUST BE CERTIFIED BY THE DEPARTMENT OF COMMERCE AND SUBMIT A COPY OF THE CERTIFICATION TO THE DEPARTMENT OF REVENUE FOR

APPROVAL BEFORE USING THE CERTIFICATION FOR THE PURPOSE OF ANY TAX INCENTIVE.

Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X or 165

Social security number or employer identiﬁ cation number

Check one box to indicate the year this form represents for claiming the credit:

First Year

Second Year

Third Year

Fourth Year

Fifth Year

Sixth Year or more

Part I

Business Information

1 Name of Healthy Forest Enterprise

2 Employer identiﬁ cation number

Part II

Average Number of Full-Time Employees

3 Average number of full-time employees in the Healthy Forest Enterprise during the current taxable year ..............................

4 Average number of full-time employees in the Healthy Forest Enterprise during the immediately preceding taxable year .......

5 Net increase in average number of full-time employees - subtract line 4 from line 3 .................................................................

Part III

Net Increase in Qualiﬁ ed Employment Positions

6 Total number of ﬁ lled, qualiﬁ ed employment positions created in the current year ....................................................................

The business must create at least three new qualiﬁ ed employment positions in the ﬁ rst taxable year in which the credit is claimed.

7 Net increase in average number of full-time employees - enter the number from Part II, line 5 ................................................

8 Net increase in qualiﬁ ed employment positions for this Healthy Forest Enterprise - enter the lesser of line 6 or line 7 ............

Part IV Limitation on Number of Qualiﬁ ed Employment Positions

9 Maximum number of ﬁ lled, qualiﬁ ed employment positions on which a credit may be calculated .............................................

200

10 Maximum number of new qualiﬁ ed employment positions on which you may claim the credit -

enter the lesser of line 8 or line 9 ...............................................................................................................................................

Part V

Credit Calculation for Qualiﬁ ed Employment Positions

(a)

(b)

(c)

(d)

Number of qualifying

employees

Qualifying wages

Percentage

Allowable credit

Qualiﬁ ed