Arizona Form 345 - Credit For New Employment - 2012 Page 5
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5Name:
TIN:
Page
of
Employees in Qualifi ed Employment Positions
Form 345-2 (2012)
(c)
(d)
(b)
If you are claiming more than 23 employees
in qualifi ed employment positions, complete
Check the appropriate box.
This employee is a:
additional schedules.
Limitation on total number of
(a)
credits is 400 QEPs
1st year
2nd year
3rd year
per taxpayer each year.
employee
employee
employee
See instructions before
Employee name
Social security number
(c)1
(c)2
(c)3
checking this box.
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Total - Add lines 1 through 23
including only lines with check marks.
Enter the total here.
ADOR 10133 (12)
Print 345-2
Clear 345-2
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