Form It-601 - Claim For Ez Wage Tax Credit - 2013 Page 3
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5IT-601 (2013) Page 3 of 5
Part 3 (for taxpayers certified in an investment zone only) – Computation of EZ wage tax credit for qualified targeted employees
whose wages are more than $40,000 for the tax year
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified targeted
employees
(see instructions)
14 Average number of qualified targeted employees
............................................................ 14
(see instructions)
15 Wage tax credit for each employee ........................................................................................................... 15
.
3500
00
16 Amount of EZ wage tax credit for qualified targeted employees
(multiply line 14 by line 15)
.
......................... 16
00
List below each qualified targeted employee used to compute the EZ wage tax credit on line 16 (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 4 (for taxpayers certified in an investment zone only) – Computation of EZ wage tax credit for qualified employees not
included in Schedule A, Part 3, whose wages are more than $40,000 for the tax year
Current tax year
March 31
June 30
September 30
December 31
Total
Number of qualified employees
(see instructions)
17 Average number of qualified employees
.......................................................................... 17
(see instructions)
18 Wage tax credit for each employee ........................................................................................................... 18
.
2000
00
19 Amount of EZ wage tax credit
(multiply line 17 by line 18)
.
............................................................................. 19
00
List below each employee used to compute the EZ wage tax credit on line 19 (include their social security numbers)
Employee’s name
Social security number
Employee’s name
Social security number
Use additional sheets if necessary.
Part 5 – Computation of EZ wage tax credit for the current tax year
20 EZ wage tax credit for the current tax year
(add lines 10, 13, 16 and 19; see instructions)
.
.............................. 20
00
Fiduciaries: Include the line 20 amount in the Total line of Schedule D, column C.
All others: Enter the line 20 amount on Schedule E, line 25.
161003130094
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