Form It-604 - Claim For Qeze Tax Reduction Credit - 2014 Page 5
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8IT-604 (2014) Page 5 of 8
Claim for QEZE Tax Reduction Credit
Section 2 – For QEZEs first certified on or after April 1, 2005
(see Important information in the instructions)
All filers enter tax period:
beginning
ending
Note: You must file all pages (1 through 8) with your return. All taxpayers must complete the information above Section 1 on
page 1 and then complete either Section 1 (pages 1 through 4) or Section 2 (pages 5 through 8). Do not complete both sections.
Name(s) as shown on your return
Taxpayer identification number
Name of empire zone (EZ)
Name of qualified empire zone enterprise (QEZE) business
Employer identification number (EIN) of QEZE
of first certification by Empire State Development
(submit copies of all certificates of eligibility
Date
(mm-dd-yyyy)
and EZ retention certificates)
...................................................................................................................................
Schedule J – Employment test for QEZEs first certified on or after April 1, 2005
(see instructions)
Part 1 – EZ employment – Computation of the employment number within all EZs for the current tax year and the four-year base
period. Include employees within all EZs, even if you are not certified in all of those zones
.
(see instructions)
Current tax year
March 31
June 30
September 30 December 31
Total
employment number
Number of full-time employees
within all EZs
34 Current tax year employment number within all EZs
.............................................. 34
(do not round; see instructions)
Base period
Tax year
March 31
June 30
September 30 December 31
Total
employment number
ending
(mm-yyyy)
Number in
base year one
Number in
base year two
Number in
base year three
Number in
base year four
Total number of full-time employees within all EZs in the base period ..................................
35 Base period employment number within all EZs
..................................................... 35
(do not round; see instructions)
36 Does the amount on line 34 exceed line 35?
............................... Yes
No
(see instructions)
If No, stop; you are not eligible for the QEZE tax reduction credit.
(continued)
164005140094
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