Form Ct-41 - Claim For Credit For Employment Of Persons With Disabilities - 2011
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CT-41
New York State Department of Taxation and Finance
Claim for Credit for Employment
of Persons with Disabilities
All filers must enter tax period:
Tax Law — Articles 9, 9-A, 32, and 33
beginning
ending
Legal name of corporation
Employer identification number
File this with Form CT-3, CT-3-A, CT-3-S, CT-32, CT-32-A, CT-32-S, CT-33, CT-33-A, CT-33-NL, CT-183, CT-184, CT-185, or CT-186.
Schedule A — Computation of credit
(see Form CT‑41‑I, Instructions for Form CT-41)
Part 1 — Computation of credit on qualified first-year wages (do not include employees shown in Part 2 below)
A
B
C
D
Name of qualified employee
Social security number
One-year period for qualified
Wages paid during tax year
(attach additional sheets if necessary)
of qualified employee
first-year wages
for services rendered during
(enter beginning and end dates)
one-year period shown in
column C ($6,000 limit)
1
Total
..................................................
1.
(add amounts in column D and amounts from attached sheets, if any)
2
2.
.35
Tax credit percentage (35%) ...............................................................................................................
3
Tax credit on qualified first-year wages
.........................................................
3.
(multiply line 1 by line 2)
Part 2 — Computation of credit on qualified second-year wages
(do not include employees shown in Part 1 above)
A
B
C
D
Name of qualified employee
Social security number
One-year period for qualified
Wages paid during tax year
(attach additional sheets if necessary)
of qualified employee
second-year wages
for services rendered during
(enter beginning and end dates)
one-year period shown in
column C ($6,000 limit)
4
4.
Total
.................................................
(add amounts in column D and amounts from attached sheets, if any)
5
Tax credit percentage (35%) ...............................................................................................................
5.
.35
6
Tax credit on qualified second-year wages
...................................................
6.
(multiply line 4 by line 5)
7
Total credit on qualified first-year and second-year wages
...................................
7.
(add lines 3 and 6)
8
Credit from partnerships
..........................................................................................
8.
(see instructions)
9
Total credit
.............................................................................................................
9.
(add lines 7 and 8)
Schedule B — Computation of credit used and carried forward
(New York S corporations: do not complete Schedule B; see instructions.)
10 Unused credit carried forward from preceding tax year
..........................................
10.
(see instructions)
11 Total credit computed for the current tax year
............................................
11.
(enter amount from line 9)
12 Total credit
12.
..........................................................................................................
(add lines 10 and 11)
13 Tax before credits
...................................................................................................... 13.
(see instructions)
14 Enter other tax credits claimed before this credit
....................................................
14.
(see instructions)
15 Net tax
...................................................................................................... 15.
(subtract line 14 from line 13)
16 Tax limitation — enter appropriate tax:
Article 9 section 183 — enter minimum tax of 75
Article 9 section 185 — enter minimum tax of 10
Article 9 section 186 — enter minimum tax of 125
Article 9-A — enter the fixed dollar minimum tax
Articles 32 or 33 — enter minimum tax of 250
Article 33 combined filers — enter combined minimum tax for subsidiaries ............................... 16.
17 Tax credit limitation
17.
........................
(subtract line 16 from line 15; if line 16 is greater than line 15, enter 0)
18 Tax credit used for the current tax year (
18.
...................................................................
see instructions)
19 Tax credit carried forward (
.......................................................................
19.
subtract line 18 from line 12)
44901110094
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