UNEMPLOYMENT TAX CREDIT
UTC
SCHEDULE
For Taxable Year
Ended
Attach to your tax return.
See instructions.
Form 740
42A740-UTC (10-04)
For calendar year or
__ __ / __ __
Commonwealth of Kentucky
for tax year beginning _____________ , ______ , and ending ____________ , ______
Department of Revenue
Name of Individual, Partnership or Corporation
Social Security Number
Street Address or P .O. Box
Apt. Number
Federal Employer ID Number
City
State
ZIP Code
PARTNERS / BENEFICIARIES / S CORPORATION SHAREHOLDERS
Enter name and address of partnership from Form 765, estate or trust from Form 741 or S corporation from Form 720S.
Enter your share of credit from
Form 765, Schedule K-1 ..........................................................................................................................
Form 741, Schedule K-1 ..........................................................................................................................
Form 720S, Schedule K-1 ........................................................................................................................
See instructions on reverse before entering this amount on Schedule TC, line 5(d), column A or B. Do not complete the rest of Schedule UTC.
PERSONS EMPLOYED
Enter below the name(s), Social Security number(s) and Office of Employment and Training Certificate number(s) of employee(s)
for whom you are claiming a credit. Also enter the date employed and the last date employee was on your payroll during the
tax year. (Additional entry lines on reverse.)
Employment Dates
Office of
Employment
Date
Date Employed
Employee's Name
Social Security Number
and Training
Employed
Through
Certificate Number
Mo. Day
Yr.
Mo. Day
Yr.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
29. (a) Enter number of employees listed above ..........................................................................................
(b) Enter number of employees listed on reverse of this form ..............................................................
30. Add lines 29(a) and 29(b), enter total ........................................................................................................
31. Multiply the amount on line 30 by $100, enter total. This is the total unemployment tax credit .........