Form Dtf-619 - Claim For Qetc Facilities, Operations, And Training Credit - 2011 Page 3

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DTF-619 (2011) Page 3 of 4
Schedule C
(continued)
23 Beneficiary: Enter your share of the estate’s or trust’s research and development property
credit component ...........................................................................................................................
23.
24 Total research and development property credit component
.............................
24.
( add lines 22 and 23)
Fiduciaries: Include the line 24 amount on the Total line of Schedule D, column C, and
continue with Part 2.
All others: Continue with Part 2.
Part 2 — Qualified research expenses credit component
A
B
C
D
Description of
Date paid or
Cost
Credit
expense
incurred
( column C × 9% ( .09 ))
( mm-dd-yyyy )
Totals from attached schedule, if needed ..............................................................
25 Qualified research expenses credit component amount
................................
25.
( add column D amounts )
26 Beneficiary: Enter your share of the estate’s or trust’s qualified research expenses credit
component .....................................................................................................................................
26.
27 Total qualified research expenses credit component
..........................................
( add lines 25 and 26 )
27.
Fiduciaries: Include the line 27 amount on the Total line of Schedule D, column D, and
continue with Part 3.
All others: Continue with Part 3.
Part 3 — Qualified high-technology training expenditures credit component
A
B
C
D
E
F
Employee name
Social security
Description of qualified
Date paid or
Amount of
Credit ( enter the
number
high-technology
incurred
expense
lesser of column E
training expense
or $4,000 )
( mm-dd-yyyy )
Total from attached schedule, if needed ............................................................................................................
...
28 Qualified high-technology training expenditures credit component amount
28.
( add column F amounts )
29 Beneficiary: Enter your share of the estate’s or trust’s qualified high-technology training
expenditures credit component .....................................................................................................
29.
30 Total qualified high-technology training expenditures credit component
...........
30.
( add lines 28 and 29 )
Fiduciaries: Include the line 30 amount on the Total line of Schedule D, column E, and
continue with line 31.
All others: Continue with line 31.
31 Total credit component amount
31.
....................................................................
( add lines 24, 27, and 30 )
Fiduciaries: Complete Schedule D.
All others: Enter the line 31 amount on line 32.
6193110094
Please file this original scannable
form with the Tax Department.
61903110094

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