Schedule Tse - Teacher Summer Employment Claim For Credit - Indiana Department Of Revenue
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1Schedule
Teacher Summer Employment Claim for Credit
TSE
Part I
Tentative Notice of Expected Amount to be Claimed
Rev. 8-90a
SF# 49099
Federal I.D. No.
For Calendar Year Ending or for Fiscal Year Beginning:
And Ending:
Soc. Sec. No. (Sole Proprietor)
Name of Taxpayer
Address
City or Town
County
State
ZIP Code
Soc. Sec. No. (Spouse)
Part 1 - To be filed with the Indiana Department of Revenue
Number of eligible teachers
employed in qualified positions
no later than October 31 of the tax year
Department of Education
Amount of wages paid to eligible
$
Qualified Position Certification No
.
teachers in qualified positions
Maximum Amount Credit approved by
Amount of credit
$
$
expected to be claimed
Department of Education
Schedule
Teacher Summer Employment Claim for Credit
TSE
Part II To be Attached to the Indiana Tax Return
Rev. 8-90a
SF# 49099
Federal I.D. No.
For Calendar Year Ending or for Fiscal Year Beginning:
And Ending:
Soc. Sec. No. (Sole Proprietor)
Name of Taxpayer
Address
Soc. Sec. No. (Spouse)
City or Town
County
State
ZIP Code
Part 2 - To be attached to the Indiana
Number of eligible teachers
employed in qualified positions
Tax Return when filed
Department of Education
Amount of wages paid to eligible
$
Qualified Position Certification No
.
teachers in qualified positions
Maximum Amount Credit approved by
Amount of credit
$
$
expected to be claimed
Department of Education
Schedule
Teacher Summer Employment Claim for Credit
TSE
Part III To be Attached to the Indiana Tax Return and
Rev. 8-90a
Forwarded to the Department of Education
SF# 49099
Federal I.D. No.
For Calendar Year Ending or for Fiscal Year Beginning:
And Ending:
Soc. Sec. No. (Sole Proprietor)
Name of Taxpayer
Address
Soc. Sec. No. (Spouse)
City or Town
County
State
ZIP Code
Part 1 - To be filed with the Indiana Department of Revenue
Number of eligible teachers
employed in qualified positions
no later than October 31 of the tax year
Department of Education
Amount of wages paid to eligible
$
.
Qualified Position Certification No
teachers in qualified positions
Maximum Amount Credit approved by
Amount of credit
$
$
Department of Education
expected to be claimed
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