Form 8844 - Empowerment Zone Employment Credit - 2012
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38844
OMB No. 1545-1444
Empowerment Zone Employment Credit
2012
Form
Attach to your tax return.
▶
Department of the Treasury
Attachment
99
Information about Form 8844 and its instructions is at
▶
Sequence No.
Internal Revenue Service
Name(s) shown on return
Identifying number
1
Enter the total qualified wages paid or incurred during calendar year 2012 only (see instructions)
$
a Qualified empowerment zone wages .
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× 20% (.20)
1a
b Reserved .
1b
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2
Enter the amount from line 1a. See instructions for the adjustment you must make to salaries and
2
wages .
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3
Empowerment zone employment credit from partnerships, S corporations, cooperatives, estates,
and trusts .
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4
Add lines 2 and 3. Cooperatives, estates, and trusts, go to line 5. Partnerships and S corporations,
stop here and report this amount on Schedule K. All others, stop here and report this amount on
Form 3800, Part III, line 3
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4
5
Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see
instructions) .
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5
6
Cooperatives, estates, and trusts, subtract line 5 from line 4. Report this amount on Form 3800,
Part III, line 3 .
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8844
For Paperwork Reduction Act Notice, see instructions.
Form
Cat. No. 16145S
(2012)
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