Form It-633 - Economic Transformation And Facility Redevelopment Program Tax Credit - 2013

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New York State Department of Taxation and Finance

IT-633

Economic Transformation and Facility

Redevelopment Program Tax Credit

Tax Law - Article 1, Section 35; Article 22, Section 606(ss)

Calendar-year filers, mark an X in the box:

Other filers enter tax period:

beginning

and ending

Submit this form with Form IT-201, IT-203, IT-204, or IT-205. You must also submit a copy of the Certificate of Eligibility and the

Preliminary Schedule of Benefits issued by Empire State Development (ESD).

Name(s) as shown on return

Taxpayer identification number

Mark an X in the appropriate box to indicate the tax year of the

benefit period for which you are claiming the credit on this form:

Mark an X in the box if you are claiming this credit as a partner in

a partnership, shareholder of a New York S corporation, or beneficiary of an estate or trust: ................................................................

(see Eligibility on page 1 in instructions)

Schedule A – Eligibility

Part 1 – Qualified new business

1 Is the business a qualified new business?

..................................................... Yes

(see Definitions in instructions)

If Yes, continue with Part 2. If No, stop. You do not qualify for this credit.

(see instructions)

Part 2 – Computation of average number of net new jobs

September 30

December 31

Total

Current tax year

March 31

June 30

Number of net new jobs

2 Average number of net new jobs for the current tax year

...........................................

(see instructions)

3 Is the average number of net new jobs five or greater? ...........................................................................................Yes

If Yes, complete Schedule B. If No, stop. You do not qualify for this credit for the current tax year.

(see instructions)

Schedule B – Computation of credit component amounts

Part 1 – Jobs tax credit component – Complete the information below for each net new job created and maintained in

(submit additional sheets if necessary; see instructions)

the economic transformation area

Employee’s name

Social security number

Date first

Gross wages

Credit amount

Last date of