Form 345 - Arizona Credit For New Employment - 2014 Page 5
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5Name (as shown on Form 345)
TIN
Page
of
Form 345-2
Employees in Qualified Employment Positions
2014
(a)
(b)
(c)
(d)
Employee’s Name
Social Security
Type of Employee
Limitation on Total
Number
Number of Credits
Check the appropriate box.
This employee is a:
(c1)
(c2)
(c3)
See instructions
1
Year
2
Year
3
Year
before checking
st
nd
rd
Employee
Employee
Employee
this box.
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3
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7
8
9
10
11
12
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19
20
21
22
23
24 TOTAL: Add lines 1 through 23 including only lines with check marks. Enter the total
for each column ..............................................................................................................
24
If you are claiming more than 23 employees in qualified employment positions, complete additional schedules.
ADOR 11149 (14)
Print 345-2
Clear 345-2
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Parent category: Financial