Form 
8844
Department of the Treasury 
Internal Revenue Service
Empowerment Zone Employment Credit
a
 Attach to your tax return.
a
 Information about Form 8844 and its instructions is at 
www.irs.gov/form8844.
OMB No. 1545-1444
20
13
Attachment 
Sequence No. 
99
Name(s) shown on return
Identifying number
1
Enter the total qualified wages paid or incurred during 
calendar year 
2013
 
only (see instructions)
a 
Qualified empowerment zone wages 
......
$ 
× 20% (.20)
1a
b 
Reserved 
...............
1b
2 
Enter the amount from line 1a. See instructions for the adjustment you must make to salaries and 
wages 
...............................
2
3 
Empowerment zone employment credit from partnerships, S corporations, cooperatives, estates, 
and trusts 
..............................
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 3 
........................
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 3 
............................
6
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 16145S
Form 
8844
 
(2013)
----------------Page (0) Break----------------