Form Dtf-619 - Claim For Qetc Facilities, Operations, And Training Credit - 2011 Page 2

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Page 2 of 4 DTF-619 (2011)
Schedule B — Credit eligibility requirements
Part 1 — Employment
12 Number of full-time employees employed in New York State and elsewhere during the tax year
.......
12.
(see instr.)
13 Is the number of employees on line 12 one hundred (100) or less? ............................................................... Yes
No
If Yes, continue with line 14.
If No, stop. You are not eligible to claim this credit.
14 Number of employees on line 12 who are employed in New York State ............................................................
14.
15 Divide line 14 by line 12
....................................................... 15.
%
( round the result to the fourth decimal place )
16 Does the percentage on line 15 equal or exceed 75%? ................................................................................. Yes
No
If Yes, continue with line 17.
If No, stop. You are not eligible to claim this credit.
Part 2 — Research and development activities
17 Enter the amount of research and development funds .............................................................
17.
18 Enter the amount of net sales for the current tax year reported on your federal return.
( If you
..............................
18.
have any amount of R&D funds, but zero net sales, mark the Yes box on line 20. )
19 Research and development funds percentage
( divide line 17 by line 18; round the result to the
19.
%
fourth decimal place ) ..............................................................................................................................................
20 Does the percentage on line 19 equal or exceed 6%? ................................................................................... Yes
No
If Yes, continue with line 21.
If No, stop. You are not eligible to claim this credit.
Part 3 — Gross revenues
21 For tax year 2010, were your gross revenues, along with the gross revenues of affiliates and related
members, $20,000,000 or less? ............................................................................................................... Yes
No
If Yes, continue with Schedule C.
If No, stop. You are not eligible to claim this credit.
Schedule C — Computation of credit component amounts
Part 1 — Research and development property credit component
A
B
C
D
Description of property,
Date placed
Cost, basis, expense,
Credit
expense, or fee
in service
or fee
( column C × 18% (.18 ))
( list each and attach
( mm-dd-yyyy )
schedule if needed )
Totals from attached schedule, if needed ...............................................................
22 Research and development property credit component amount
...................
22.
( add column D amounts )
6192110094
Please file this original scannable
form with the Tax Department.
61902110094

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