Arizona Form 304 - Enterprise Zone Credit - 2012
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5ARIZONA FORM
Enterprise Zone Credit
2012
304
For the calendar year 2012 or
fi scal year beginning
and ending
.
M M D D Y Y Y Y
M M D D Y Y Y Y
Attach to your return.
Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Social security or employer identifi cation number
Enterprise Zone Credit for Qualifi ed Employment Positions
See instructions regarding Arizona Commerce Authority certifi cation before claiming this credit.
Part I
Business Information
1
Business name ...................................................................................................
1
2a Business location address ..................................................................................
2a
2b Business location in former enterprise zone
(list name of former enterprise zone) .................................................................
2b
3
Employer identifi cation number ..........................................................................
3
4
Retail sales. Does more than 10 percent of the business conducted at the location consist of retail sales of tangible personal property?
See instructions before answering this question.
Yes
No
If the answer to this question is yes, the business is not eligible for the enterprise zone credit for qualifi ed employment positions.
5
Arizona residency. Are all of the employees in qualifi ed employment positions Arizona residents?
See instructions before answering this question.
Yes
No
If the answer to this question is no, the business is not eligible for an enterprise zone credit for those qualifi ed
employment positions fi lled by employees who are not Arizona residents.
Part II
Credit Calculation for Qualifi ed Employment Positions
(a)
(b)
(c)
(d)
Number of qualifi ed
employment positions
Qualifying wages
%
Allowable credit
Employees in the second year
6
of continuous employment in
33 1/3%
a qualifi ed employment position
7
Employees in the third year
of continuous employment in
50%
a qualifi ed employment position
8
Totals
ADOR 10130 (12)
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