Fillable Form It-639 - Minimum Wage Reimbursement Credit

Form It-639 - Minimum Wage Reimbursement Credit - 2014 Page 2

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Page 2 of 3 IT-639 (2014)

Part 2 – Credit for hours worked when the federal minimum wage exceeds $7.25 per hour

(submit additional sheets if necessary; see instructions)

Name of eligible employee

Social security number

Hours

NYS

Federal Subtract

Credit amount

(First initial, last name)

of eligible employee

worked at

minimum minimum column E

(column C × column F)

the NYS

hourly

from

minimum

wage rate wage rate column D

wage rate

(see instr.) (see instr.)

(see instr.)

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

4 Total of all column G amounts ................................................................................................................................

5 Add lines 3 and 4 .....................................................................................................................................

Individuals and partnerships: Enter the line 5 amount on line 10.

Fiduciaries: Include the line 5 amount in the Total line of Schedule D, column C.

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