Arizona Form 332 - Credits For Healthy Forest Enterprises - 2015 Page 2

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Name (as shown on page 1):
TIN:
Part 6
Training Credit Calculation
(a)
(b)
Number of
Net Training and
Qualifying
Certifying Costs
Employees
00
18
Qualified new employees ...............................................................................................................
18
00
19
Previously qualified employees in the second year of continuous employment .............................
19
00
20
Previously qualified employees in the third year of continuous employment .................................
20
00
21
TOTAL ............................................................................................................................................
21
Part 7
Recapture of the Employment Credit
22
Taxable year in which the certification of the business as a healthy forest enterprise was revoked or terminated ........
22
23
First taxable year in which the employment credit for healthy forest enterprises was allowed ......................................
23
24
Number of years between when the employment credit was first allowed and when the certification
was revoked or terminated .............................................................................................................................................
24
%
25
Enter percentage based on the number of years entered on line 24: See instructions .................................................
25
00
26
Full amount of all employment credits previously allowed..............................................................................................
26
00
27
Recapture of employment credit for healthy forest enterprises: Multiply line 26 by the percentage on line 25 .............
27
Recapture of the Training Credit
Part 8
28
Taxable year in which the certification of the business as a healthy forest enterprise was revoked or terminated ........
28
29
First taxable year in which the training credit for healthy forest enterprises was allowed ..............................................
29
30
Number of years between when the training credit was first allowed and when the certification
was revoked or terminated .............................................................................................................................................
30
%
31
Enter percentage based on the number of years entered on line 30: See instructions .................................................
31
00
32
Full amount of all training credits previously allowed .....................................................................................................
32
00
33
Total recapture of training credit for healthy forest enterprises: Multiply line 32 by the percentage on line 31 .............
33
Part 9
S Corporation Credit Elections and Shareholder’s Share of Credits and Credit Recaptures
M M D D Y Y Y Y
34
The S corporation has made an irrevocable election for the taxable year ending
to (check only one box):
Claim the employment credit for healthy forest enterprises, as shown on Part 5, line 17, column (d) (for the taxable year mentioned above);
OR
Pass the employment credit for healthy forest enterprises, as shown on Part 5, line 17, column (d) (for the taxable year mentioned above)
through to its shareholders.
Signature
Title
Date
M M D D Y Y Y Y
35
The S corporation has made an irrevocable election for the taxable year ending
to
(check only one box):
Claim the training credit for healthy forest enterprises, as shown on Part 6, line 21, column (b) (for the taxable year mentioned above);
OR
Pass the training credit for healthy forest enterprises, as shown on Part 6, line 21, column (b) (for the taxable year mentioned above)
through to its shareholders.
Signature
Title
Date
If passing the
credit through to the shareholders, complete lines 36 through 38 separately for each shareholder. If passing the
EMPLOYMENT
credit through to the shareholders, complete lines 36, 37 and 39 separately for each shareholder.
TRAINING
If passing the
through to the shareholders, complete line 40 separately for each shareholder. If passing the
EMPLOYMENT CREDIT RECAPTURE
through to the shareholders, complete line 41 separately for each shareholder.
TRAINING CREDIT RECAPTURE
Furnish each shareholder with a copy of pages 1 through 4 of Form 332.
36
Name of shareholder:
37
Shareholder’s TIN:
00
38
Shareholder’s share of the amount of
credit on Part 5, line 17, column (d) ...............................................
38
EMPLOYMENT
00
39
Shareholder’s share of the amount of
credit on Part 6, line 21, column (b) .....................................................
39
TRAINING
00
40
Shareholder’s share of the
credit recapture from Part 7, line 27 ...............................................................
40
EMPLOYMENT
00
41
Shareholder’s share of the
credit recapture from Part 8, line 33 ......................................................................
41
TRAINING
ADOR 10683 (15)
AZ Form 332 (2015)
Page 2 of 4

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