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Location:
Chatsworth, GA, 30705
Posted:
January 30, 2018

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WORK OPPORTUNITY TAX CREDIT PACKAGE

EMPLOYEE INSTRUCTIONS

Thank you for completing the tax credit screening portion of your application process. We have determined that your prospective new employer may qualify for the Work Opportunity Tax Credit program. There will be several tax credit forms that will be signed electronically after you create your password which will include the 8850 and authorization for release form.

We appreciate your assistance.

AUTHORIZATION FOR DISCLOSURE OF INFORMATION

I hereby authorize my employer or employer representative to obtain information from my records to determine my eligibility for the Work Opportunity Tax Credit Program. I also authorize the appropriate agency to release the requested information from my records to my employer or employer representative; including Social Security Administration for a TPQY printout.

Employee Name: SSN:

Employee Signature: Date:

Christopher Carver

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Chatsworth GA 30705

4752

1178 hwy 225 s

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1/30/2018

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12/28/1981



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