Form Ct-601 - Claim For Ez Wage Tax Credit - 2013 Page 2
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4Page 2 of 4 CT-601 (2013)
Part 3 – Computation of average number of full-time employees in the EZ for the current tax year and four-year base period
(CEEs do not complete this part)
Current tax year
March 31
June 30
September 30
December 31
Total
Number of full-time employees
in EZ
4
Average number of full-time employees in the EZ for current tax year
4
........................
(do not round)
Number of full-time employees in EZ
during four-year base period
March 31
June 30
September 30
December 31
Total
First year
Second year
Third year
Fourth year
Total number of full-time employees in the EZ for four-year base period .........................................................
5
Average number of full-time employees in the EZ for four-year base period
5
...............
(do not round)
Does the average number of full-time employees on line 4 exceed the
average number of full-time employees on line 5? ................................................................................................ Yes
No
If you answered Yes to the question above, go to Schedule B to calculate the credit for the current tax year. If you answered No, you
cannot compute a credit for the current tax year. If you have any available EZ wage tax credit carryover from a preceding tax year, go
to Schedule C. If you have an EZ wage tax credit passed through to you from a partnership go to line 19.
Schedule B – Computation of EZ wage tax credit for the current tax year
(see instructions)
Enter the number of full-time employees (including full-time equivalents, but excluding general executive officers)
that were employed in the zone as of the zone designation date. ..........................................................................
Part 1 – Computation of EZ wage tax credit for qualified targeted employees
(see instructions)
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified targeted employees
6 Average number of qualified targeted employees
6
(round to two decimal places; do not round to whole number) ..
3,000.00
7 Wage tax credit per employee .............................................................................................................
7
8 Amount of EZ wage tax credit for qualified targeted employees
8
(multiply line 6 by line 7)
....................
List below the name and social security number of each employee included in the computation of the EZ wage tax credit on
line 8 (qualified targeted employees). Attach Form ES-450B for each employee listed here. (Attach additional sheets if necessary.)
Employee’s name
Social security number
Employee’s name
Social security number
Part 2 – For taxpayers certified in an investment zone (IZ); Computation of EZ wage tax credit for qualified targeted employees
who received wages in excess of $40,000 for the tax year
(see instructions)
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified targeted employees
9 Average number of qualified targeted employees
9
(round to two decimal places; do not round to whole number)
3,500.00
10 Wage tax credit for each employee ..................................................................................................... 10
11 Amount of EZ wage tax credit for qualified targeted employees
(multiply line 9 by line 10)
..................
11
List below the name and social security number of each employee included in the computation of the EZ wage tax credit on
line 11 (qualified targeted employees). Attach Form ES-450B for each employee listed here. (Attach additional sheets if necessary.)
Employee’s name
Social security number
Employee’s name
Social security number
460002130094
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