Font) 58844

Font) 58844 (December 2010) Depelment ol the Treasury Internal Revenue Service New Hire Retention Credit to Attach to your tax return. Use Part II to list additional retained workers. OMB No. 1545-2202 Attachment 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 Use a separate column for each retained worker. If you need more columns, use Part II and include the totals on line 10. (a) Retained Worker No. 1 (b) Retained Worker No. 2 (c) Retained Worker No. 3 1 2 3 4 5 6 7 8 9 10 11 12 13 Enter the retained worker's social security number . Enter the first date of employment from the retained worker's Form W-11 or similar statement . . . Enter the retained worker's wages for the first 26 consecutive weeks of employment Multiply line 3 by 80% (.80) 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 Add lines 3 and 5 Multiply line 6 by 6.2% (.062) Maximum credit allowable Enter the smaller of line 7 or line 8 Add columns (a) through (c) on line 9 above and columns Parts II Enter the total number of retained workers for whom credit on line 10 (see instructions) New hire retention credit from partnerships and S corporations Current year credit. Add lines 10 and 12. Partnerships and Schedule K: all others, report this amount on the applicable 2010 Form 3800) 8 1.000 00 1.000 00 1.000 CO (a) through (c) on lines you are receiving a (see instructions) S corporations, report line of Form 3800 9 of 11 any attached 10 12 this amount on (e.g.. line 1 as of the 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 column. For example, the first retained worker listed on the first attached Part II would be Retained Worker No. 4. If you need more columns, use 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. (a) Retained Worker No. (b) Retained Worker No. (c) Retained Worker No. 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 9 Enter the smaller of line 7 or line 8 1 2 3 4 M A 5 6 7 8 1.000 00 1.0001 00 1.001 00 9 (a) Retained Worker No. (h) Retained Worker No. (a) Retained Worker 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) Retained Worker No. (h) Retained Worker No. (a) Retained Worker No. I 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 9 Enter the smaller of line 7 or line 8 1 2 3 4 M A 5 6 7 8 1.0001 00 1,0001 00 1,OOO CO 9 Form 5884-B (12-2010) EFTA01222743