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Form 5884-A Form Field Reference for TY2011

FORM 5884-A Credits for Affected Midwestern Disaster Area Employers

Field No.

Description

Line Ref.

 

0010

Identifying Number

 

0020

Qualified Wages Paid/Incurred After Disaster

1

0030

40% of Line 1

2

0040

Empl Ret Cr from PRTSHP, S Corp, Coop, Est & Tr

3

0050

1041 Portion Amount

4

0060

Current Year Credit

4

0070

Value of Qualified Lodging

5

0080

30% of Line 5

6

0090

Emplyr Hous Cr from PRTSHP, S Corp, Coop, Est & Tr

7

0100

1041 Portion Amount

8

0110

Current Year Credit

8

Page Last Reviewed or Updated: 20-Nov-2012