Form 500cr - Income Tax Credits - 2011
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19MARYLAND BUSINESS
2011
FORM
500CR
INCOME TAX CREDITS
ATTACH TO YOUR 500, 502, 504, 505, 510, or MW508
or fiscal year beginning ___________ 2011, ending ___________
Taxpayer Identification Number
Name as shown on Form
SEE INSTRUCTIONS Note: ** Indicates Certification Must Be Attached
Check here if any of the following credits are derived from an entity other than that shown
above. Enter the entity’s federal employer identification number. If from more than one, see
instructions. Attach K-1 or other statements from PTEs showing your share of the credit. For
FEIN
One Maryland Economic Development Tax Credit, see instructions.
PART A - ENTERPRISE ZONE TAX CREDIT
PART A - I
CREDIT FOR ECONOMICALLY DISADVANTAGED EMPLOYEES NOT LOCATED IN A FOCUS AREA
1. Number of qualified employees. First year
Second year
Third year
2. Credit for first year (limited to $3,000 of wages paid to each employee) ........................................... 2
3. Credit for second year (limited to $2,000 of wages paid to each employee) ..................................... 3
4. Credit for third year (limited to $1,000 of wages paid to each employee) .......................................... 4
5. Total (Add lines 2, 3 and 4.) ............................................................................................................... 5
PART A - II
CREDIT FOR OTHER QUALIFIED EMPLOYEES NOT LOCATED IN A FOCUS AREA
6. Number of qualified employees eligible for credit not included in Part A-I ........................................
6
7. Credit (limited to $1,000 of wages paid to each employee) ..............................................................
7
PART A - III CREDIT FOR ECONOMICALLY DISADVANTAGED EMPLOYEES LOCATED IN A FOCUS AREA
8. Number of qualified employees. First year
Second year
Third year
9. Credit for first year (limited to $4,500 of wages paid to each employee) .......................................... 9
10. Credit for second year (limited to $3,000 of wages paid to each employee) .................................... 10
11. Credit for third year (limited to $1,500 of wages paid to each employee) ......................................... 11
12. Total (Add lines 9, 10 and 11.) .......................................................................................................... 12
PART A - IV CREDIT FOR OTHER QUALIFIED EMPLOYEES LOCATED IN A FOCUS AREA
13. Number of qualified employees eligible for credit not included in Part A-III....................................... 13
14. Credit (limited to $1,500 of wages paid to each employee) ............................................................... 14
PART A - SUMMARY
15. Total Enterprise Zone Tax Credit for the current tax year (Add lines 5, 7, 12 and 14.) ..................... 15
COM/RAD 007
11-49
Rev 9/12
1
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