Form Wrc - Schedule 1 - Worker Retraining Tax Credit Application For Noncredit Courses - 1999

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Schedule 1 (Form WRC) Worker Retraining Tax Credit Application For Noncredit Courses
1999
Page ____ of ____
C
1 (F
WRC)
OMPLETE A SCHEDULE
ORM
FOR EACH COURSE
Federal Employer Identification Number
Name as it appears on Form WRC
-OR - Social Security number
Virginia Account Number
List each noncredit course from a Virginia community college or a private school to be approved by the Virginia
This section to be
Department of Business Assistance for purposes of claiming this credit. Complete a separate Schedule 1 (Form
completed by the
Virginia Department of
WRC) for each course. See the definition of “ eligible worker retraining” in the instructions before completing this
Business Assistance
schedule.
Course
A
Class course title and course number: _____________________________________________________
”
Approved
”
Not
B
Name and address of community
_____________________________________________________
approved
college ” or private school ”
_____________________________________________________
Authorized signature
C.
Course description, including dates, duration and prerequisites
____________________________________________________________________________________
____________________________________________________________________________________
Name: ____________
____________________________________________________________________________________
Phone: ___________
D.
Name and telephone number of contact person at the college or school ___________________________
Qualifying Employees taking qualifying noncredit courses
Column A
Column B
Column C
Column D
Column E
30% of training costs or, if
Employee name and
Date hired
Date course
Private school, up to $100.
Approved cost
social security number
completed
-
Check box if from
(For office use, leave
private school
blank)
See instructions.
1
”
2
”
3
”
4
”
5
”
6
”
7
”
8
”
9
”
10
”
Total from another page
Grand total (Enter the grand total on Form WRC, Part II.)
Grand Total
What To Attach:
Attach Schedule 1 to Form WRC along with a copy of the all documentation used in completing this
schedule, including enrollment forms from the Virginia community college or private school showing the
classes taken and payment by the employer.
VA Dept. Of Taxation
1901042

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