Form Dtf-621 - Claim For Qetc Employment Credit - 2012 Page 3
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4DTF-621 (2012) Page 3 of 4
Additional information for Schedule B – Employee listing
List below each employee used to compute the average number of full-time employees on line 17.
Employee’s name
Social security number
Employee’s name
Social security number
466003120094
621003120094
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Parent category: Financial