Form Ct-635 - New York Youth Works Tax Credit - 2014 Page 2

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Page 2 of 2 CT-635 (2014)
Schedule D – Employee information and computation of credit
(complete a separate Schedule D for each certified youth; see instr.)
Employee name
Social security number
Last date of employment during the current tax year
(mm-dd-yy)
Hire date
Part 1 – 2014 hours worked and monthly factors for full-time or part-time work (see instructions)
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Month
Number of
hours worked
Full-time or
part-time factor
Part 2 – 2015 hours worked and monthly factors for full-time or part-time work (for fiscal year filers only; see instructions)
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Month
Number of
hours worked
Full-time or
part-time factor
Part 3 – Computation of credit
14 Total monthly factors for first six months
..........................................................
14
(see instructions)
15 Six-month employment credit
............................................................................... 15
(see instructions)
16 Additional six-month credit
................................................................................
16
(see instructions)
17 Total tax credit for employee
.......................................................................... 17
(add lines 15 and 16)
635002140094

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