Arizona Form 345 - Credit For New Employment - 2015

Download a blank fillable Arizona Form 345 - Credit For New Employment - 2015 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Arizona Form 345 - Credit For New Employment - 2015 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Arizona Form

2015

Credit for New Employment

345

Include with your return.

For the calendar year 2015 or fiscal year beginning

2 0 1 5 and ending

2 0

M M D D

Y Y

Name as shown on Form 140, 140PY, 140NR, 140X, 99T, 120, 120A, 120S, 120X, or 165

Social Security or

Employer Identification Number

Part 1

Business Information

Business Name

Business Location Address — Street

City

State

ZIP Code

Employer Identification Number

4a What type of entity is the business?



Corporation

Exempt Organization

Limited Liability Company (LLC)



Partnership

S corporation

Sole Proprietorship

4b If the business is an LLC, what is the federal tax classification? Check only one box:



Corporation

Disregarded Entity

Partnership

S corporation

If the business is an LLC, a partnership or an S corporation, include a schedule that lists ownership information including: name, address, TIN,

and ownership percentage at the end of the tax year.

Qualification for Credit and Credit Calculation

Part 2



Did you receive a Certification from Arizona Commerce Authority? ............................................

Yes

If “Yes”, include a copy of the Certification. If “No”, skip lines 6 through 9.

(a)

(b)

Number of

Available Credit:

Employees

Multiply column (a) by $3,000.

Credit for employees in first year or partial year of employment in a

qualified employment position ...............................................................................................

Credit for employees in the second year of continuous employment in a

qualified employment position ...............................................................................................

Credit for employees in the third year of continuous employment in a

qualified employment position ...............................................................................................

Subtotal: Add lines 6 through 8 in each column, and enter the total ....................................

Part 3

Qualification for Credit and Credit Amount Passed Through From S corporations and Partnerships

Did an entity from which you are claiming a pass through credit for new employment



receive Certification from the Arizona Commerce Authority? ......................................................

Yes

If “Yes”, include a copy. If “No”, skip lines 11 through 15.

Enter the name of the entity that received the Certification from the Arizona Commerce Authority and its identification number.

Be sure to include a copy of the Certification.

Name:

EIN:

Enter your share of the credit for employees in first year or partial year of employment in a

qualified employment position ........................................................................................................................................

Enter your share of the credit for employees in the second year of continuous employment in a

qualified employment position ........................................................................................................................................

Enter your share of the credit for employees in the third year of continuous employment in a

qualified employment position ........................................................................................................................................

Subtotal: Add lines 12 through 14, and enter the total ...................................................................................................

Continued on page 2 

ADOR 11149 (15)