Form It-601 - Claim For Ez Wage Tax Credit - 2013 Page 2
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5Page 2 of 5 IT-601 (2013)
Schedule A – Computation of EZ wage tax credit for the current tax year
(see instructions)
Enter the number of full-time employees (including full-time equivalents) that were employed in the zone as
of the zone designation date. ..........................................................................................................................
Part 1 – C omputation of EZ wage tax credit for qualified targeted employees (Taxpayers who are certified in an investment zone,
see instructions.)
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified targeted
employees
(see instructions)
8 Average number of qualified targeted employees ......................................................................................
8
9 Wage tax credit for each employee ...........................................................................................................
.
9
3000
00
10 Amount of EZ wage tax credit for qualified targeted employees
(multiply line 8 by line 9)
.
............................ 10
00
List below each qualified targeted employee used to compute the EZ wage tax credit on line 10 (include their social security
numbers) Submit Form ES-450B for each employee listed here.
Employee’s name
Social security number
Employee’s name
Social security number
Use additional sheets if necessary.
Part 2 – C omputation of EZ wage tax credit for qualified employees not included in Schedule A, Part 1 (Taxpayers who are
certified in an investment zone, see instructions.)
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified employees
(see instructions)
11 Average number of qualified employees
.......................................................................... 11
(see instructions)
12 Wage tax credit for each employee ........................................................................................................... 12
.
1500
00
13 Amount of EZ wage tax credit
(multiply line 11 by line 12)
.
............................................................................. 13
00
List below each employee used to compute the EZ wage tax credit on line 13 (include their social security numbers)
Employee’s name
Social security number
Employee’s name
Social security number
Use additional sheets if necessary.
(continued)
161002130094
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