Arizona Form 333 - Credit For Employing National Guard Members - 2015
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1
2
3Arizona Form
2015
Credit for Employing National Guard Members
333
Include with your return.
For the calendar year 2015 or fiscal year beginning
M M D D
2 0 1 5 and ending
M M D D Y Y Y Y
.
Your Name as shown on Form 140, 140PY, 140NR, 140X, 99T, 120, 120A, 120S, 120X or 165
Your Social Security or
Employer Identification Number
Spouse’s Name as shown on Form 140, 140PY, 140NR, 140X (if a joint return)
Spouse’s Social Security Number
Part 1
Business Information
1 Business name:
2 Business location:
3 Employer Identification Number:
Part 2
Credit Computation
4 Number of qualifying employees placed on active duty during the current taxable year .....................
4
1,000 00
5 Credit per employee .............................................................................................................................
5
00
6 Multiply the number on line 4 by the amount on line 5 .........................................................................
6
Part 3
S Corporation Credit Election and Shareholder’s Share of Credit
7 The S corporation has made an irrevocable election for the taxable year ending
M M D D Y Y Y Y
to (check only one box):
Claim the credit for employing national guard members, as shown on Part 2, line 6 for the
taxable year mentioned above;
OR
Pass the credit for employing national guard members, as shown on Part 2, line 6 for the
taxable year mentioned above, through to its shareholders.
Signature
Title
Date
If passing the credit through to the shareholders, complete lines 8 through 10 separately for each shareholder.
Furnish each shareholder with a copy of pages 1 and 2 of Form 333.
8 Name of shareholder:
9 Shareholder’s TIN:
00
10 Shareholder’s share of the amount on Part 2, line 6 ............................................................................ 10
Part 4
Partner’s Share of Credit
Complete lines 11 through 13 separately for each partner.
Furnish each partner with a copy of pages 1 and 2 of Form 333.
11 Name of partner:
12 Partner’s TIN:
00
13 Partner’s share of the amount on Part 2, line 6 .................................................................................... 13
Continued on page 2
ADOR 10714 (15)
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