Schedule
North Dakota Office of State Tax Commissioner
ME
Credit For Wages Paid to Mobilized
2013
Employee
Attach to
Form ND-1, 38, 40,
58 or 60
Please type or print in black or blue ink. See separate instructions.
Taxpayer's name as shown on return
Social security number or FEIN
Social security number
Name of mobilized employee
Employee 1 . . . . . . . . . .
Employee 2 . . . . . . . . . .
Employee 3 . . . . . . . . . .
Employee 1
Employee 2
Employee 3
1. Enter beginning and ending dates for portion of
From
mobilization period falling into your 2013 tax year
From
From
1
To
To
To
2. Amount of wages that you would have paid during
the period of mobilization (shown on line 1) if the
2
employee had not been mobilized . . . . . . . . . .
3. Amount of federal active duty wages received by
employee during the period of mobilization (shown
3
on line 1) . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Subtract line 3 from line 2. If zero or less, stop
here; you are not eligible for the credit . . . . . .
4
5. Amount of wages that you actually paid during the
period of mobilization (shown on line 1) . . . . . . . .
5
6. Enter smaller of line 4 or line 5
6
. . . . . . . . . . . . . . . . . .
7. Multiply line 6 by 25% (.25) . . . . . . . . . . . . . . . . .
7
1,000.00
1,000.00
1,000.00
8
8. Maximum credit . . . . . . . . . . . . . . . . . . . . . . . . .
9. Credit. Enter smaller of line 7 or line 8 . . . . . . . . .
9
10. Add the credit amounts on line 9 for all employees and enter result . . . . . . . . . . . . . . . . . . . . . . . .
10
11. Unused credit carryover, if any, from 2012 tax year (If Form 58 or 60 filer, enter zero) . . . . . . . . . .
11
12. Total available credit. Add lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13. Amount of line 12 used to reduce tax in 2013. See instructions. Enter this amount on the applicable
13
form below
If you are filing:
Enter amount from line 13 of this schedule on:
Form ND-1 . . . . . . . . . Schedule ND-1TC, line 15
Form 38 . . . . . . . . . . . Form 38, page 1, line 3
Form 40 . . . . . . . . . . . Form 40, Schedule TC, line 22
Form 58 . . . . . . . . . . . Form 58, Schedule K, line 19
Form 60 . . . . . . . . . . . Form 60, Schedule K, line 15
14. Unused credit carryover to 2014. See instructions (If Form 58 or 60 filer, enter zero) . . . . . . . . . . . .
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