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Form
8844
Department of the Treasury
Internal Revenue Service
Empowerment Zone Employment Credit
a
Attach to your tax return.
a
Information about Form 8844 and its instructions is at
www.irs.gov/form8844.
OMB No. 1545-1444
20
13
Attachment
Sequence No.
99
Name(s) shown on return
Identifying number
1
Enter the total qualified wages paid or incurred during
calendar year
2013
only (see instructions)
a
Qualified empowerment zone wages
......
$
× 20% (.20)
1a
b
Reserved
...............
1b
2
Enter the amount from line 1a. See instructions for the adjustment you must make to salaries and
wages
...............................
2
3
Empowerment zone employment credit from partnerships, S corporations, cooperatives, estates,
and trusts
..............................
3
4
Add lines 2 and 3. Cooperatives, estates, and trusts, go to line 5. Partnerships and S corporations,
stop here and report this amount on Schedule K. All others, stop here and report this amount on
Form 3800, Part III, line 3
........................
4
5
Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see
instructions)
.............................
5
6
Cooperatives, estates, and trusts, subtract line 5 from line 4. Report this amount on Form 3800,
Part III, line 3
............................
6
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 16145S
Form
8844
(2013)
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