EFTA01222742.pdf

Font) 58844 New Hire Retention Credit OMB No. 1545-2202 (December 2010) to Attach to your tax return. Depelment ol the Treasury Attachment Internal Revenue Service Use Part II to list additional retained workers. Sequence No. 65 Name(s) shown on return Identify' g number A credit of up to $1.000 is allowed for each retained worker. A retained worker generally is a qualified employee (see instructions) whose first 52 consecutive weeks of employment ended in the current tax year. However, the workers wages (as defined for income tax withholding purposes) for the second 26 consecutive weeks must equal at least 80% of the worker's wages for the first 26 consecutive weeks. Part I New Hire Retention Credit for Retained Workers (a) (b) (c) Use a separate column for each retained worker. If you need more columns, use Part II and include Retained Retained Retained the totals on line 10. Worker Worker Worker No. 1 No. 2 No. 3 1 Enter the retained worker's social security number . 2 Enter the first date of employment from the retained worker's Form W-11 or similar statement . . . 3 Enter the retained worker's wages for the first 26 consecutive weeks of employment 4 Multiply line 3 by 80% (.80) 5 Enter the retained worker's wages for the second 26 consecutive weeks of employment. If line 4 is larger than this amount, the qualified employee is not a retained worker and should not be listed on this form 6 Add lines 3 and 5 7 Multiply line 6 by 6.2% (.062) 8 Maximum credit allowable 8 1.000 00 1.000 00 1.000 CO 9 Enter the smaller of line 7 or line 8 10 Add columns (a) through (c) on line 9 above and columns (a) through (c) on lines 9 of any attached Parts II 10 11 Enter the total number of retained workers for whom you are receiving a credit on line 10 (see instructions) 11 12 New hire retention credit from partnerships and S corporations (see instructions) 12 13 Current year credit. Add lines 10 and 12. Partnerships and S corporations, report this amount on Schedule K: all others, report this amount on the applicable line of Form 3800 (e.g.. line 1as of the 2010 Form 3800) 13 For Paperwork Reduction Act Notice, see Instructions. Form 5884-B (I2-2010) EFTA01222742 Forrn 5884-8 (12-2010) Attachment Sequence No. 65 Page 2 Name(s) shown on return. Do not enter name and identifying number if shown on other soda. Identifying number Continuation Sheet for Additional Retained Workers Use a separate column for each retained worker. Keep track of the number of workers listed by entering a number at the top of each (a) (b) (c) column. For example, the first retained worker listed on the first attached Retained Retained Retained Part II would be Retained Worker No. 4. If you need more columns, use Worker Worker Worker additional copies of Part II. Include the totals from columns (a) through (c) of all lines 9 from all copies of Part II on Part I, line 10. No. No. No. 1 Enter the retained worker's social security number . 1 2 Enter the first date of employment from the retained worker's Form W-11 or similar statement 2 3 Enter the retained worker's wages for the first 26 consecutive weeks of employment 3 4 Multiply line 3 by 80% (.80) 4 5 Enter the retained worker's wages for the second 26 M consecutive weeks of employment. If line 4 is larger than this amount, the qualified employee is not a A retained worker and should not be listed on this form 5 6 Add lines 3 and 5 6 7 Multiply line 6 by 6.2% (.062) 7 8 Maximum credit allowable 8 1.000 00 1.0001 00 1.001 00 9 Enter the smaller of line 7 or line 8 9 (a) (h) (a) Retained Retained Retained Worker Worker Worker No. No. No. I Enter the retained workers social security number i 2 Enter the first date of employment from the retained worker's Form W-11 or similar statement 2 3 Enter the retained worker's wages for the first 26 consecutive weeks of employment 3 4 Multiply line 3 by 80% (.80) 4 5 Enter the retained worker's wages for the second 26 consecutive weeks of employment. If line 4 is larger than this amount, the qualified employee is not a retained worker and should not be listed on this form 5 6 Add lines 3 and 5 6 7 Multiply line 6 by 6.2% (.062) 7 8 Maximum credit allowable 8 1.0001 00 1.0001 00 1.0001 00 9 Enter the smaller of line 7 or line 8 9 (a) (h) (a) Retained Retained Retained Worker Worker Worker No. No. No. I Enter the retained worker's social security number . 1 2 Enter the first date of employment from the retained worker's Form W-11 or similar statement 2 3 Enter the retained worker's wages for the first 26 consecutive weeks of employment 3 4 Multiply line 3 by 80% (.80) 4 5 Enter the retained worker's wages for the second 26 M consecutive weeks of employment. If line 4 is larger than this amount, the qualified employee is not a A retained worker and should not be listed on this form 5 6 Add lines 3 and 5 6 7 Multiply line 6 by 6.2% (.062) 7 8 Maximum credit allowable 8 1.0001 00 1,0001 00 1,OOO CO 9 Enter the smaller of line 7 or line 8 9 Form 5884-B (12-2010) EFTA01222743