Form Ct-1120 Hic - Hiring Incentive Tax Credit - 2012
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1
2Department of Revenue Services
2012
Form CT-1120 HIC
State of Connecticut
Hiring Incentive Tax Credit
(Rev. 12/12)
For Income Year Beginning: _______________________ , 2012 and Ending: ________________________ , _________ .
Corporation name
Connecticut Tax Registration Number
Complete this form in blue or black ink only.
Credit Computation
Use Form CT-1120 HIC to claim the credit available under Conn.
Multiply the number of full calendar months worked by qualifying
Gen. Stat. §12-217y for hiring a qualifying employee. Attach it to
employees during the income year by $125 to determine the
Form CT-1120K, Business Tax Credit Summary.
amount of credit.
To be eligible to claim this credit, an application must be submitted
Do not include employees for whom a credit is claimed under
the new Qualified Small Business Job Creation tax credit or the
to and approved by the Connecticut Department of Labor (DOL).
Vocational Rehabilitation Job Creation tax credit.
Definitions
Additional Information
A qualifying employee is any employee who, upon the initial
Contact DOL, Program Support Unit, 200 Folly Brook Boulevard,
hiring of the employee, is employed not less than 30 hours per
week for a full calendar month by the same business firm and
Wethersfield CT 06109-1114, or see Informational Publication
who, at the time of being hired, is and has been receiving benefits
2010(13), Guide to Connecticut Business Tax Credits.
from the temporary family assistance program for more than nine
consecutive months immediately preceding the date of employment.
Include the number of hours per week an employee participates in
a job training program approved by the DOL Commissioner when
calculating the number of hours the employee works.
Part I - Credit Computation If additional lines are needed, attach a worksheet.
A
B
C
D
E
Qualifying Employee Name
Employee
Date of Hire
Number of Full
Column D
Social Security Number
Calendar Months
Multiplied by $125
Employed
1.
2.
3.
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5.
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10.
11.
Tax credit: Add Lines 1 through 10, Column E. Enter here and on Form CT-1120K. Part I-D, Column B.
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