Maryland Form 504cr - Business Income Tax Credits For Fiduciaries - 2013
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232013
MARYLAND
BUSINESS INCOME TAX CREDITS
FORM
FOR FIDUCIARIES
504CR
ATTACH TO FORM 504.
or fiscal year beginning
2013, 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 from PTEs showing your share of the credit. For One Maryland
FEIN
Economic Development Tax Credit, see instructions.
PART A - ENTERPRISE ZONE TAX CREDIT
** Must Attach Required Certification
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
PART B - HEALTH ENTERPRISE ZONE HIRING TAX CREDIT
** Must Attach Required Certification
For a fiduciary certified by the Maryland Department of Health and Mental Hygiene as a Health Enterprise
Zone Practitioner who has hired a qualified employee after December 31, 2012
and before January 1, 2016.
1. Number of qualifed employees certified by Department of Health and Mental Hygiene.
First year
Second year
2. Credit for first year ($5,000 for each qualified employee) . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Credit for second year ($5,000 for each qualified employee) . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Tentative amount of Hiring Credit (Add line 2 and 3.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5. Enter refund recapture amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6. Refundable Hiring Credit (Subtract line 5 from line 4 and enter this amount here and in
PART Y, line 4. If less than zero, enter negative amount.) . . . . . . . . . . . . . . . . . . . . . . . . . .
6
COM/RAD 057
13-49
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