Fillable Form 5884 2016 Work Opportunity Credit

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Form 5884 2016 Work Opportunity Credit

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Form 5884
(Rev. December 2016)
Department of the Treasury
Internal Revenue Service
Work Opportunity Credit
▶
Attach to your tax return.
▶
Information about Form 5884 and its separate instructions is at www.irs.gov/form5884.
OMB No. 1545-0219
Attachment
Sequence No. 77
Name(s) shown on return Identifying number
1
Enter on the applicable line below the total qualified first- or second-year wages paid
or incurred during the tax year, and multiply by the percentage shown, for services of
employees who are certified as members of a targeted group.
a
Qualified first-year wages of employees who worked
for you at least 120 hours but fewer than 400 hours .
$
× 25% (0.25)
1a
b
Qualified first-year wages of employees who worked
for you at least 400 hours . . . . . . . . . .
$
× 40% (0.40)
1b
c
Qualified second-year wages of employees certified as
long-term family assistance recipients . . . . . .
$
× 50% (0.50)
1c
2 Add lines 1a, 1b, and 1c. See instructions for the adjustment you must make to
salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . .
2
3 Work opportunity credit from partnerships, S corporations, cooperatives, estates, and
trusts (see instructions) . . . . . . . . . . . . . . . . . . . . . . .
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 4b . . . . . . . . . . . .
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 4b . . . . . . . . . . . . . . . . . . . . . .
6
For Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 13570D
Form 5884 (Rev. 12-2016)
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Form 5884 2016 Work Opportunity Credit

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Completed 1 March 2020

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