Form 8974 - Qualified Small Business Payroll Tax Credit For Increasing Research Activities - 2017

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8974:

950817

Qualified Small Business Payroll Tax Credit for Increasing Research Activities

Form

OMB No. 1545-0029

(January 2017)

Department of the Treasury — Internal Revenue Service

Report for this quarter . . .

—

Employer identification number (EIN)

Check only one box.

Name (not your trade name)

1: January, February, March

2: April, May, June

Form 941, 941-PR, or 941-SS

The credit from Part 2, line 12, will be

3: July, August, September

reported on (check only one box):

4: October, November, December

Reserved

Calendar year

You must select a quarter if you file Form 941, 941-PR, or 941-SS.

Tell us about your income tax return.

Part 1:

Which income tax return did you file that elected a qualified small business payroll tax credit on Form 6765, Credit for Increasing Research Activities?

Check only one box.

Form 1040

Form 1065

Form 1120

Form 1120-F

Form 1120S

What tax period was covered by your income tax return?

Calendar year

or tax year beginning

ending

When did you file your income tax return?

If the EIN shown above isn’t the same as the EIN used on