Arizona Form 320 - Credit For Employment Of Tanf Recipients - 2015 Page 4
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1
2
3
4Your Name (as shown on Form 320, page 1)
Your Social Security or Employer Identification Number
Page
of
2015
Form 320-2
Qualifying Employees for Which You are Claiming a Credit
(a)
(b)
(c)
(d)
(e)
Employee’s Name
Social Security
Type of Employee
Total Wages Paid
Maximum Allowable Wages:
Number
to the Employee
Check the appropriate box.
During the Current
Enter the lesser of column (d) or
This employee is a:
Taxable Year Less
the maximum allowed below.
Wages Subsidized
(c1)
(c2)
(c3)
(e1)
(e2)
(e3)
as Provided by
1
st
Year
2
nd
Year
3
rd
Year
Year 1
Year 2
Year 3
A.R.S. §46-299
Employee
Employee
Employee
$2000
$3000
$3000
1
00
2
00
3
00
4
00
5
00
6
00
7
00
8
00
9
00
10
00
11
00
12 TOTAL:
• For column (c), add the number of employees in each column (c1), (c2) and (c3),
and enter the total for each column on line 12.
• For columns (d) and (e), add the amounts in each column and
00
enter the total for each column on line 12. ......................................................... 12
If you have more than 11 qualifying employees for which you are claiming a credit, complete additional schedules and include behind this page.
Print 320-2
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Page 4 of 4
ADOR 10579 (15)
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