Form D-20cr - Qhtc Corporate Business Tax Credits

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OFFICIAL USE:
OFFICIAL USE:
OFFICIAL USE:
D-20CR
20____
D-20CR
20____
HHH
D-20CR
20____
HHH
Government of the District of Columbia
OFFICIAL USE:
HHH
Government of the District of Columbia
OFFICIAL USE:
OFFICIAL USE:
Government of the District of Columbia
OFFICIAL USE:
D-20CR
Business Tax Credits
20____
QHTC Corporate
D-20CR
20____
D-20CR
20____
QHTC Corporate
Business Tax Credits
HHH
D-20CR
QHTC Corporate
Business Tax Credits
20____
##
HHH
Office of Tax and Revenue
Government of the District of Columbia
OFFICIAL USE:
HHH
Government of the District of Columbia
Office of Tax and Revenue
Government of the District of Columbia
Office of Tax and Revenue
Government of the District of Columbia
D-20CR
QHTC Corporate
Business Tax Credits
20____
(File With Form D-20)
OFFICIAL USE:
QHTC Corporate
Business Tax Credits
QHTC Corporate
Business Tax Credits
HHH
(File With Form D-20)
QHTC Corporate
Business Tax Credits
Office of Tax and Revenue
(File With Form D-20)
D-20CR
Government of the District of Columbia
20____
Office of Tax and Revenue
Office of Tax and Revenue
OFFICIAL USE:
HHH
Office of Tax and Revenue
OFFICIAL USE:
Government of the District of Columbia
QHTC Corporate
D-20CR
Business Tax Credits
(File With Form D-20)
20____
(File With Form D-20)
(File With Form D-20)
D-20CR
20____
HHH
Office of Tax and Revenue
(File With Form D-20)
HHH
Business Tax Credits
QHTC Corporate
Government of the District of Columbia
Government of the District of Columbia
Office of Tax and Revenue
For Tax Year beginning after December 31, 20_____
QHTC Corporate
(File With Form D-20)
Business Tax Credits
For Tax Year beginning after December 31, 20_____
QHTC Corporate
Business Tax Credits
OFFICIAL USE:
For Tax Year beginning after December 31, 20_____
Initial year of
Office of Tax and Revenue
(File With Form D-20)
Office of Tax and Revenue
D-20CR
20____
HHH
For Tax Year beginning after December 31, 20_____
For Tax Year beginning after December 31, 20_____
Government of the District of Columbia
For Tax Year beginning after December 31, 20_____
(File With Form D-20)
certification as QHTC
(File With Form D-20)
For Tax Year beginning after December 31, 20_____
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
QHTC Corporate
Business Tax Credits
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
For Tax Year beginning after December 31, 20_____
Office of Tax and Revenue
OFFICIAL USE:
For Tax Year beginning after December 31, 20_____
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
D-20CR
20____
or Tax Year beginning ___________________, 20_____ and ending ___________________, 20_____
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
(File With Form D-20)
HHH
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
Government of the District of Columbia
For Tax Year beginning after December 31, 20_____
For Tax Year beginning after December 31, 20_____
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
Business Tax Credits
QHTC Corporate
OFFICIAL USE:
Office of Tax and Revenue
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
D-20CR
20____
____________________________________________________
HHH
BUSINESS NAME AS SHOWN ON DC FORM D-20:
____________________________________________________
Government of the District of Columbia
____________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
For Tax Year beginning after December 31, 20_____
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
(File With Form D-20)
BUSINESS NAME AS SHOWN ON DC FORM D-20:
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
Business Tax Credits
QHTC Corporate
____________________________________________________
____________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
____________________________________________________
Office of Tax and Revenue
BUSINESS NAME AS SHOWN ON DC FORM D-20:
BUSINESS NAME AS SHOWN ON DC FORM D-20:
____________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
__________________________________________________
(File With Form D-20)
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
____________________________________________________
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
__________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
__________________________________________________
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
For Tax Year beginning after December 31, 20_____
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
____________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
__________________________________________________
__________________________________________________
__________________________________________________
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
____________________________________________________
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
__________________________________________________
____________________________________________________
BUSINESS NAME AS SHOWN ON DC FORM D-20:
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
BUSINESS NAME AS SHOWN ON DC FORM D-20:
For Tax Year beginning after December 31, 20_____
__________________________________________________
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
__________________________________________________
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
____________________________________________________
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
BUSINESS NAME AS SHOWN ON DC FORM D-20:
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
__________________________________________________
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
__________________________________________________
DOLLARS ONLY
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
DOLLARS ONLY
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
or Tax Year beginning ___________________, 20_____ and ending ___________________, __________
DOLLARS ONLY
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
DOLLARS ONLY
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
DOLLARS ONLY
DOLLARS ONLY
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
DOLLARS ONLY
__________________________________________________
____________________________________________________
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total
1.
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
District of Columbia Taxable Income (line 36 of Form D-20) .
.
1. Total District of Columbia Taxable Income (Line 36 of Form D-20) ................................................
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
BUSINESS NAME AS SHOWN ON DC FORM D-20:
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
DOLLARS ONLY
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
DOLLARS ONLY
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
$
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
.
. 1
Total
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2. Regular DC Corporate Franchise Tax (multiply Line 1 amt. by .09975).
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
____________________________________________________
DOLLARS ONLY
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
BUSINESS NAME AS SHOWN ON DC FORM D-20:
DOLLARS ONLY
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
__________________________________________________
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
. $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
3. Minimum tax.
. $
. 2
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QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
The minimum tax is $250 if DC gross receipts are equal to or less than $1M. Minimum tax is $1,000 if DC
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
DOLLARS ONLY
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
__________________________________________________
.
FEDERAL EMPLOYER IDENTIFICATION NUMBER:
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
gross receipts are greater than $1M.
. $
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
. 3
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3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
4. Amount of Tax Credit (Line 2 minus Line 3) If Line 2 is less than Line 3, skip Line 4 and enter 0 on Line 6
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
1.
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
.
. $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
DOLLARS ONLY
(If located in a High Technology Development Zone, enter amount from line 2)
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PART A — REDUCTION IN DC CORPORATE FRANCHISE TAX FOR A
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
. 4
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4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
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(If located in a High Technology Development Zone, enter amount from line 2)
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(If located in a High Technology Development Zone, enter amount from line 2)
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5. Cumulative QHTC Franchise Tax Credits (Total amount of QHTC Franchise Tax Credits to date). If it is
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
. $
QUALIFIED HIGH TECHNOLOGY COMPANY (QHTC)
(If located in a High Technology Development Zone, enter amount from line 2)
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(If located in a High Technology Development Zone, enter amount from line 2)
(If located in a High Technology Development Zone, enter amount from line 2)
DOLLARS ONLY
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
1.
(If located in a High Technology Development Zone, enter amount from line 2)
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
$15M or more, enter $0 on Line 6.
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
.. .............................................
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(If this is less than $15M, see instructions)
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
(If located in a High Technology Development Zone, enter amount from line 2)
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
THEIR
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
(If located in a High Technology Development Zone, enter amount from line 2)
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
6. Allowable Franchise Tax Credit
THEIR
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
. . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
(see instructions)
. $
1.
Total
District of Columbia Taxable Income (line 36 of Form D-20) .
.
(If located in a High Technology Development Zone, enter amount from line 2)
(If located in a High Technology Development Zone, enter amount from line 2)
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
THEIR
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
THEIR
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
1. Number of employees eligible, first 12 months.
2. Regular DC Corporate Franchise Tax (multiply line 1 amt. by .09975). If less than $100, enter $100 . . .
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
. $
1. Number of employees eligible, first 12 months.
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
1. Number of employees eligible, first 12 months.
(If located in a High Technology Development Zone, enter amount from line 2)
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
1. Number of employees eligible, first 12 months.
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
THEIR
1. Number of employees eligible, first 12 months.
1. Number of employees eligible, first 12 months.
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
THEIR
1. Number of employees eligible, first 12 months.
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
3. QHTC TAX (multiply line 1 amt. by .06). If less than $100, enter $100 . . . . . . . . . . . . . . . . . . . . . . . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
1. Number of employees eligible, first 12 months.
(If located in a High Technology Development Zone, enter amount from line 2)
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
1. Number of employees eligible, first 12 months.
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
EMPLOYEES DURING THE FIRST 18 MONTHS OF
EMPLOYMENT
THEIR
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Amount of Tax Credit (line 2 minus line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
1. Number of employees eligible, first 12 months.
1. Number of employees eligible, first 12 months.
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
(If located in a High Technology Development Zone, enter amount from line 2)
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
. 3
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3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
1. Number of employees eligible, first 12 months.
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000.)
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
(
employment beginning after December 31, 2000.)
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
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PART B — TAX CREDIT FOR THE COSTS OF RETRAINING QUALIFIED DISADVANTAGED
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employment beginning after December 31, 2000.)
(
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000.)
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
employment beginning after December 31, 2000.)
EMPLOYEES DURING THE FIRST 18 MONTHS OF
THEIR
EMPLOYMENT
employment beginning after December 31, 2000.)
employment beginning after December 31, 2000.)
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
1. Number of employees eligible, first 12 months.
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
employment beginning after December 31, 2000.)
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
employment beginning after December 31, 2000.)
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
employment beginning after December 31, 2000.)
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
1. Number of employees eligible, first 12 months.
employment beginning after December 31, 2000.)
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
2. Total expenditures for retraining Qualified Disadvantaged Employees paid or incurred during this period . $
employment beginning after December 31, 2000.)
1. Employees eligible in First year
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
2. Months in First year
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
1. Employees eligible in First year
2. Months in First year
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
1. Employees eligible in First year
2. Months in First year
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
1. Employees eligible in First year
2. Months in First year
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
1. Employees eligible in First year
3. Amount of Retraining Costs Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
2. Months in First year
2. Months in First year
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
1. Employees eligible in First year
2. Months in First year
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000.)
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
2. Months in First year
(
Limited to $20,000 per employee for retraining costs incurred during the first 18 months of
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
2. Months in First year
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
2. Months in First year
1. Employees eligible in First year
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000.)
2. Months in First year
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
2. Months in First year
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART C — TAX CREDIT FOR 50% OF WAGES PAID TO QUALIFIED DISADVANTAGED EMPLOYEES
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
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employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
DURING THE FIRST 24 MONTHS OF EMPLOYMENT
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
1. Employees eligible in First year
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
2. Months in First year
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
PART D — TAX CREDIT FOR RELOCATION COSTS
PART D — TAX CREDIT FOR RELOCATION COSTS
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART D — TAX CREDIT FOR RELOCATION COSTS
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART D — TAX CREDIT FOR RELOCATION COSTS
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
1. Employees eligible in First year
PART D — TAX CREDIT FOR RELOCATION COSTS
2. Months in First year
PART D — TAX CREDIT FOR RELOCATION COSTS
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART D — TAX CREDIT FOR RELOCATION COSTS
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART D — TAX CREDIT FOR RELOCATION COSTS
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
1. Number of eligible employees who reside in DC
PART D — TAX CREDIT FOR RELOCATION COSTS
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
1. Number of eligible employees who reside in DC
3. Total Wages paid during tax year 20___ to Qualified Disadvantaged Employees . . . . . . . . . . . . . . . . . . $
1. Number of eligible employees who reside in DC
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
PART D — TAX CREDIT FOR RELOCATION COSTS
PART D — TAX CREDIT FOR RELOCATION COSTS
1. Number of eligible employees who reside in DC
1. Number of eligible employees who reside in DC
1. Number of eligible employees who reside in DC
1. Number of eligible employees who reside in DC
2. Number of eligible employees who reside outside DC
2. Number of eligible employees who reside outside DC
4. Tax credit (50% of line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
2. Number of eligible employees who reside outside DC
1. Number of eligible employees who reside in DC
PART D — TAX CREDIT FOR RELOCATION COSTS
2. Number of eligible employees who reside outside DC
1. Number of eligible employees who reside in DC
2. Number of eligible employees who reside outside DC
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
2. Number of eligible employees who reside outside DC
2. Number of eligible employees who reside outside DC
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . . . $
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
1. Number of eligible employees who reside in DC
. . .
. . .
. . . . $
1. Number of eligible employees who reside in DC
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
The credit is 50% of qualified disadvantaged employee wages paid during the first 24 months of
. . .
. . .
. . . . $
2. Number of eligible employees who reside outside DC
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . . . $
2. Number of eligible employees who reside outside DC
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . .
. . . . $
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . . . $
employment beginning after December 31, 2000, not to exceed $15,000 per employee per year.
. . .
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . . . .
. . . . $
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
PART D — TAX CREDIT FOR RELOCATION COSTS
$
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
2. Number of eligible employees who reside outside DC
$
. . . . .
2. Number of eligible employees who reside outside DC
1. Number of eligible employees who reside in DC
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
. . .
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . . . $
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
. . .
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . . . .
. . .
. . . . .
. . . . $
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PART D — TAX CREDIT FOR RELOCATION COSTS
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . . . $
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
2. Number of eligible employees who reside outside DC
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
. . .
. . .
. . . . $
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
1. Number of eligible employees who reside in DC
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . . . $
$
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Number of eligible employees who reside outside DC
1. Number of eligible employees who reside in DC
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
. . . . .
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . .
. . . . $
2. Number of eligible employees who reside outside DC
-7-
5. Total tax credit (add lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
. . . . .
4. Tax credit for employees residing outside DC (limited to $5,000 per employee, see instructions)
$
. . .
3. Tax credit for employees residing in DC (limited to $7,500 per employee, see instructions)
. . .
. . . . $

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