Form Ct-601 - Claim For Ez Wage Tax Credit - 2012

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CT-601
New York State Department of Taxation and Finance
Claim for EZ Wage Tax Credit
Tax Law – Article 9, Section 187-m; Article 9-A, Section 210.19; Article 32,
Section 1456(e); and Article 33, Section 1511(g)
All filers must enter tax period:
beginning
ending
Taxpayer identification number(s) shown on page 1 of your tax return
File this claim with your corporation franchise
tax return: Form CT-3, CT-3-A, CT-3-S,
Legal name of corporation filing the franchise tax return
CT-32, CT-32-A, CT-32-S, CT-33, CT-33-A,
CT-33-NL, or CT-185. Attach a copy of the
Name of empire zone (EZ)
Date of EZ designation
(see instructions)
Certificate of Eligibility and retention certificate.
Mark an X in the appropriate box to indicate the tax year for which the EZ wage tax
credit is being claimed on this return ........................................................................ 1st
2nd
3rd
4th
5th
Mark an X in the box if you are a Clean Energy Enterprise (CEE) certified under General Municipal Law Article 18-B .........................
Mark an X in the box if you are claiming this credit as a corporate partner ............................................................................................
Schedule A – Eligibility requirements –
You must meet all three eligibility requirements below by answering Yes to the
three questions in Schedule A before computing the EZ wage tax credit for the current tax year in Schedule B
.
(see instructions)
Part 1 – Payment of EZ wages for the current tax year
Were EZ wages paid during the current tax year to full-time employees in jobs created in an EZ? ........................ Yes
No
1
If you answered Yes to the question above, complete Part 2. If you answered No, you cannot compute a credit for the current tax year.
If you have any available EZ wage tax credit carryover from a preceding tax year, go to Schedule C. If you have any EZ wage tax
credit passed through to you from a partnership go to line 19.
Part 2 – Computation of average number of full-time employees in New York State for the current tax year and four-year base period
Current tax year
March 31
June 30
September 30
December 31
Total
Number of full-time employees in
New York State
2
2
Average number of full-time employees in New York State for current tax year
..........
(do not round)
Number of full-time employees in
New York State during four-year
base period
March 31
June 30
September 30
December 31
Total
First year
Second year
Third year
Fourth year
Total number of full-time employees in New York State for four-year base period ...........................................
3
3
Average number of full-time employees in New York State for four-year base period
....
(do not round)
Does the average number of full-time employees on line 2 exceed the average number of full-time
employees on line 3? ........................................................................................................................................... Yes
No
If you answered Yes to the question above, complete Part 3. If you answered No, you cannot compute a credit for the current tax year.
If you have any available EZ wage tax credit carryover from a preceding tax year, go to Schedule C. If you have any EZ wage tax
credit passed through to you from a partnership go to line 19. CEEs see instructions.
460001120094

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