ARIZONA FORM
304
2013
Enterprise Zone Credit
For the calendar year 2013 or fiscal year beginning
2 0 1 3 and ending
.
M M D D
M M D D Y Y Y Y
Attach to your return.
Name(s) as shown on Form 140, 140PY, 140NR, 140X, 120, 120A, 120S, 120X, or 165
Social security or employer identifi cation number
Part I
Business Information
1
Business name ...................................................................................................
1
2a Business location address ..................................................................................
2a
2b Business location in former enterprise zone
(list name of former enterprise zone) .................................................................
2b
3
Employer identifi cation number ..........................................................................
3
4
Retail sales. Does more than 10 percent of the business conducted at the location consist of retail sales of tangible personal property?
See instructions before answering this question.
Yes
No
If the answer to this question is yes, the business is not eligible for the enterprise zone credit for qualifi ed employment positions.
5
Arizona residency. Are all of the employees in qualifi ed employment positions Arizona residents?
See instructions before answering this question.
Yes
No
If the answer to this question is no, the business is not eligible for an enterprise zone credit for those qualifi ed
employment positions fi lled by employees who are not Arizona residents.
Part II
Credit Calculation for Qualifi ed Employment Positions
(a)
(b)
(c)
(d)
Number of qualifi ed
employment positions
Qualifying wages
%
Allowable credit
Employees in the third year
6
of continuous employment in
50%
a qualifi ed employment position
Part III Limited Liability Companies
7 What is the federal tax classification of the limited liability company (LLC)? Check only one box.
S corporation
partnership
disregarded entity
corporation
If the LLC is an S corporation, complete Part IV.
If the LLC is a partnership, complete Part V.
Continued on page 2
ADOR 10130 (13)