Fillable Form It-639 - Minimum Wage Reimbursement Credit

Form It-639 - Minimum Wage Reimbursement Credit - 2014

Download a blank fillable Form It-639 - Minimum Wage Reimbursement Credit - 2014 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form It-639 - Minimum Wage Reimbursement Credit - 2014 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

New York State Department of Taxation and Finance

IT-639

Minimum Wage Reimbursement Credit

Tax Law – Article 1, Section 38 and Article 22, Section 606(aaa)

Calendar-year filers, mark an X in the box:

Other filers enter tax period:

beginning

ending

Submit this form with Form IT‑201, IT‑203, IT‑204, or IT‑205.

Name(s) as shown on return

Identifying number as shown on return

Schedule A – Individual (including sole proprietor), partnership, and fiduciary

A Enter the total number of employees claimed for this credit ........................................................................................ A

Part 1 – Credit for hours worked when the federal minimum wage equals $7.25 per hour

(Submit additional sheets if necessary; see instructions)

Name of eligible employee

Social security number

Hours worked at the NYS

of eligible employee

minimum wage rate

(see instructions)

First name

Last name

Total of column C amounts from all additional sheets ........................................................................................

1 Total number of hours worked

...............

(add column C amounts; include column C totals from all additional sheets)

2 Tax credit rate (75 cents) .........................................................................................................................

3 Tax credit (

..............................................................................................................

multiply line 1 by line 2)

639001140094