Form 8845 Indian Employment Credit

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Form

8845

Department of the Treasury
Internal Revenue Service
Name(s) as shown on return

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Indian Employment Credit
© Attach

to your tax return.

OMB No. 1545-1417

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Total of qualified wages and qualified employee health insurance costs paid or incurred during the
tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Calendar year 1993 qualified wages and qualified employee health insurance costs
(see instructions). If none, enter -0- . . . . . . . . . . . . . . . . . . . . .
Incremental increase. Subtract line 2 from line 1. If zero or less, enter -0- . . . . . . . . .
Multiply line 3 by 20% (.20) (see instructions for the adjustment you must make for salaries
and wages) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Indian employment credits from partnerships, S corporations, cooperatives, estates,
and trusts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add lines 4 and 5. Cooperatives, estates, and trusts, go to line 7; partnerships and S corporations,
report this amount on Schedule K; all others, report this amount on Form 3800, line 1g . . . .
Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cooperatives, estates, and trusts. Subtract line 7 from line 6. Report this amount on
Form 3800, line 1g . . . . . . . . . . . . . . . . . . . . . . . . . . .

For Paperwork Reduction Act Notice, see back of form.

Cat. No. 16146D

2009

Attachment
Sequence No. 113
Identifying number

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Form 8845 (2009)