Form 304 - Major Business Facility Job Tax Credit Page 3

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SCHEDULE B
Qualified Employees Schedule
*VA304B112888*
(Form 304)
Name as it Appears on Form 304
FEIN or Social Security Number
Starting with the first month of the taxable period for this return, enter the total number of qualifying full-time or equivalent full-time
employees from Schedule A for each month. The instructions on Schedule A define qualifying full-time and equivalent full-time employees.
The total number of qualifying employees for the taxable year will be computed on Line N below and transferred to Form 304, Line 3a.
For additional information, see the instructions for Line 3.
Column A
Column B
Column C
Number of Qualified or Equivalent
Number of Full Months Employed
Multiply Column A by Column B
Full-Time Employees
During the Credit Year
A
12 months
B
11 months
C
10 months
D
9 months
E
8 months
F
7 months
G
6 months
H
5 months
I
4 months
J
3 months
K
2 months
L
1 month
M Add Amounts in Column C, Lines A Through L
N Divide Line M Above by 12. Enter Here and on Form 304, Line 3a.
Attach to Form 304, Major Business Facility Job Tax Credit
Page 3

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