Organ And Bone Marrow Donor Credit Computation
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1Organ and Bone Marrow Donor Credit
— Computation —
Column 1
Column 2
Column 3
Column 4
Credit Category
Total Paid Leave
Leave Credit Calculation
Total Credit
Organ Donor(s)
Total Paid Leave
Col 2 ______________
Wages
amt.
0
$_______________
x 25% ____________
$__________________
$________________
Bone Marrow
Total Paid Leave
Col 2 ______________
Donor(s)
Wages
amt.
0
$_______________
x 25% ____________
0
0
$__________________
$________________
Total of Col. 4.
$0
Enter here and
on Schedule UB.*
*
Line 3 for D-20 filers
Line 10 for D-30 filers
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Parent category: Medical