Form Ct-633 - Economic Transformation And Facility Redevelopment Program Tax Credit - 2012

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New York State Department of Taxation and Finance
CT-633
Economic Transformation and Facility
Redevelopment Program Tax Credit
Tax Law – Article 1, Section 35; Article 9, Section 187-r; Article 9-A,
Section 210.43; Article 32, Section 1456(x); and Article 33, Section 1511(aa)
Other filers enter tax period:
beginning
ending
Calendar-year filers, mark an X in the box:
Legal name of corporation filing franchise tax return
Employer identification number (EIN)
File this form with your franchise tax return. You must also attach a copy of the Certificate of Eligibility and the Preliminary Schedule of
Benefits issued by Empire State Development (ESD).
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:
1
st
nd
rd
th
th
2
3
4
5
Are you claiming this credit as a corporate partner?
Yes
No
(mark an X in the appropriate box) ................................................
(see instructions)
Schedule A
Eligibility
Qualified new business
Part 1
1 Is the business a qualified new business? ........................................................... Yes
No
If Yes, continue with Part 2. If No, stop. You do not qualify for this credit.
Computation of average number of net new jobs
(see instructions)
Part 2
Net new jobs
A
B
C
D
E
Current tax year
March 31
June 30
September 30
December 31
Total
Number of net new jobs
2 Average number of net new jobs for the current tax year ..................................................................
2
3 Is the average number of net new jobs (on line 2) five or greater? ......................... Yes
No
If Yes, complete Schedule B. If No, stop. You do not qualify for this credit for the current tax year.
(attach additional sheets if necessary)
Schedule B
Computation of credit component amounts
Complete the information below for each net new job created and maintained in
Part 1
Jobs tax credit component
the economic transformation area
(see instructions)
A
B
C
D
E
F
Credit amount
Employee’s name
Social security number
Date first
Last date
Gross Wages
(column E x 6.85%
employed
of employment
(.0685))
during the current
(mm-dd-yy)
tax year
Total of column F amounts from attached sheet(s) ....................................................................................................
4 Jobs tax credit component
.............................................................................
(add column F amounts)
4
5 Jobs tax credit component received from partnerships .....................................................................
5
6 Total jobs tax credit component
) .............................................................................
(add lines 4 and 5
6
S corporations: Enter the line 6 amount on Form CT-34-SH, line 61, and continue with Part 2.
All others: Continue with Part 2
542001120094

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