Form 304 - Major Business Facility Job Tax Credit Page 3

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Schedule A Worksheet
Taxable Year
___________
.
Use to Calculate Line 3b of Form 304
Name as it Appears on Form 304
FEIN or Social Security Number
Use this worksheet to calculate Form 304, Line 3b.
Complete the applicable sections for the current taxable year. There should be one line completed for each applicable section.
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of employees prior to first expansion. For a new facility, enter 0.
A.
B.
C.
D.
Number of qualifying
Number of qualifying
Number of qualifying
Net amount of
employees in the credit
employees added.
employees terminated.
qualifying employees.
year. Enter on Form
(Columns A + B - C)
304, Line 3a.
Section 1 - First expansion
Credit Year
Year 1
Taxable Year 20 ___ ___
Year 2
Taxable Year 20 ___ ___
Year 3
Taxable Year 20 ___ ___
Year 4
Taxable Year 20 ___ ___
Year 5
Taxable Year 20 ___ ___
Year 6
Taxable Year 20 ___ ___
Section 2 - Second expansion [If applicable]
Credit Year
Year 1
Taxable Year 20 ___ ___
Year 2
Taxable Year 20 ___ ___
Year 3
Taxable Year 20 ___ ___
Year 4
Taxable Year 20 ___ ___
Year 5
Taxable Year 20 ___ ___
Year 6
Taxable Year 20 ___ ___
Section 3 - Third expansion [If applicable]
Credit Year
Year 1
Taxable Year 20 ___ ___
Year 2
Taxable Year 20 ___ ___
Year 3
Taxable Year 20 ___ ___
Year 4
Taxable Year 20 ___ ___
Year 5
Taxable Year 20 ___ ___
Year 6
Taxable Year 20 ___ ___
Total of Column D. Enter on Form 304, Line 3b.
Attach to Form 304, Major Business Facility Job Tax Credit.
To obtain this worksheet in a spreadsheet format, visit and go to the "What's New for Tax Credits" section.
Page 3

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