Form 332 - Arizona Credits For Healthy Forest Enterprises - 2014

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Arizona Form
2014
Credits for Healthy Forest Enterprises
332
Include with your return.
For the calendar year 2014 or fiscal year beginning
2 0 1 4 and ending
2 0
.
M M D D
M M D D
Y Y
All businesses must be certified by the Arizona Commerce Authority and submit a copy of the certification
to the Department of Revenue for approval before using the certification for the purpose of any tax incentive.
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
1
Name of Healthy Forest Enterprise:
2
Employer identification number:
3
Is this taxable year being filed under a 60-month certification?......................................................
Yes
No
4
Check one box to indicate the year this form represents for claiming the employment credit
under A.R.S. §§ 43-1076 or 43-1162:
First Year
Second Year
Third Year
Fourth Year
Fifth Year
Sixth Year or more
5
Check one box to indicate the year this form represents for claiming the training credit
under A.R.S. §§ 43-1076.01 or 43-1162.01:
First Year
Second Year
Third Year
Fourth Year
Fifth Year
Sixth Year or more
Part 2
Average Number of Full-Time Employees
6
Average number of full-time employees in the healthy forest enterprise during the current taxable year ........................
6
7
Average number of full-time employees in the healthy forest enterprise during the immediately preceding taxable year
7
8
Net increase in average number of full-time employees: Subtract line 7 from line 6.......................................................
8
Part 3
Net Increase in Qualified Employment Positions
Total number of filled, qualified employment positions created in the current year ..........................................................
9
9
If this taxable year is being filed under a twelve month certification, the business must create at least
new
three
qualified employment positions in the first taxable year in which the credit is claimed.
10
Net increase in average number of full-time employees: Enter the number from Part 2, line 8 ...................................... 10
11
Net increase in qualified employment positions for this healthy forest enterprise: Enter the lesser of line 9 or line 10 .. 11
Part 4
Limitation on Number of Qualified Employment Positions
200
12
Maximum number of filled, qualified employment positions on which a credit may be calculated ................................... 12
13
Maximum number of new qualified employment positions on which you may claim the credit:
Enter the lesser of line 11 or line 12 ................................................................................................................................. 13
Employment Credit Calculation
Part 5
(a)
(b)
(c)
(d)
Number of
Qualifying Wages
Percentage
Allowable Credit
Qualifying
Employees
00
25%
00
14
Qualified new employees ...........................................
15
Previously qualified employees in the second year of
00
33.33%
00
continuous employment..............................................
16
Previously qualified employees in the third year of
00
50%
00
continuous employment..............................................
00
17
TOTAL ........................................................................
ADOR 10683 (14)
Continued on page 2 

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