Arizona Form 304 - Enterprise Zone Credit - 2002

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Enterprise Zone Credit
ARIZONA FORM
2002
304
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YYYY
YYYY
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DD
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YYYY
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For taxable year beginning ______/______/________, and ending ______/______/________
Attach to your return
Name(s) as shown on Forms 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Your social security number or federal employer ID number
Enterprise Zone Credit for Qualifi ed Employees and Dislocated Workers
Part I
Business Information
1
Business name .............................................................................................................
1
2
Business location..........................................................................................................
2
3
(a) State withholding number........................................................................................
3
(b) Federal employer identifi cation number ..................................................................
Part II
Available Credit Carryover
(a)
(b)
(c)
(d)
(e)
(f)
Carryover credit from
4
taxable year ending
5
Original credit amount
6
Amount previously used
Tentative carryover -
7
subtract line 6 from line 5
8
Amount unallowable
Available carryover -
9
subtract line 8 from line 7
10
Total available carryover
Part III
Total Available Credit for Qualifi ed Employees and Dislocated Workers
11
Total available enterprise zone credit for qualifi ed employees and dislocated workers - from
Part II, line 10, column (f). Enter amount here and on Part XIII, line 49 ....................................................................................
11
Enterprise Zone Credit for Qualifi ed Employment Positions
See instructions regarding Arizona Department of Commerce certifi cation before claiming this credit
Part IV Business Information
12
Business name .............................................................................................................
12
13a
Business location address ............................................................................................
13a
13b Business location in enterprise zone (list name of enterprise zone).............................
13b
14
(a) State withholding number........................................................................................
14
(b) Federal employer identifi cation number ..................................................................
15
Retail sales. Does more than 10 percent of the business conducted at the location consist of selling tangible personal property at retail?
See instructions before answering this question.
Yes
No
If the answer to this question is yes, the business is not eligible for the enterprise zone credit for qualifi ed employment positions.
ADOR 91-0050 (02)

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