Form 332 Draft - Credit For Healthy Forest Enterprises - 2010 Page 5
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5Qualifi ed Employees for Which You are Taking a Credit
Form 332-2 (2010)
If you have more than 10 qualifi ed employees, complete additional schedules.
(a)
(b)
(c)
(d)
(e)
Year of Employee
Maximum Allowable Wages
Check the appropriate box. This employee is:
Enter the lesser of column (d) or the maximum allowed below
1st year
2nd year
3rd year
year 1
year 2
year 3
Total Wages Paid to the
Employee during the
employee
employee
employee
$2,000
$3,000
$3,000
Employee name
Social Security Number
(c)1
(c)2
(c)3
Current Tax Year
(e)1
(e)2
(e)3
1
2
3
4
5
6
7
8
9
10
11
Total - Add lines 1 through 10.
Enter the total here. ....................................................................
ADOR 10683 (10)
Previous ADOR 91-5497
DRAFT 10/5/09, 2:27 p.m.
DRAFT 10/5/09, 2:27 p.m.
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