Indian Employment Credit                                            OMB No. 1545-0123
Form   8845
(Rev. January 2020)                                 ▶ Attach to your tax return.                                    Attachment   
Department of the Treasury                                                                                          Sequence No. 113
Internal Revenue Service            ▶ Go to www.irs.gov/Form8845 for instructions and the latest information.
Name(s) shown on return                                                                                      Identifying number

1      Total of qualified wages and qualified employee health insurance costs paid or incurred during the
       tax year  .          . . . . . . .   . . . . . . .       . . . . . . .          . . . . . . .         . .   1
2      Calendar year 1993 qualified wages and qualified employee health insurance costs (see instructions). 
       If none, enter -0-       . . . . .   . . . . . . .       . . . . . . .          . . . . . . .         . .   2
3      Incremental increase. Subtract line 2 from line 1. If zero or less, enter -0- . . . . . . . .         . .   3
 4     Multiply  line  3  by  20%  (0.20).  See  instructions  for  the  adjustment  you  must  make  to  salaries 
       and wages  .           . . . . . .   . . . . . . .       . . . . . . .          . . . . . . .         . .   4
5      Indian employment credit from partnerships, S corporations, cooperatives, estates, and trusts .       . .   5
6      Add lines 4 and 5. Cooperatives, estates, and trusts, go to line 7. 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 1g  .   . . .   . . . . . . .       . . . . . . .          . . . . . . .         . .   6
7      Amount allocated to patrons of the cooperative or beneficiaries of the estate or trust (see instructions)   7
8      Cooperatives, estates, and trusts, subtract line 7 from line 6. Report this amount on Form 3800, Part 
       III, line 1g  .      . . . . . . .   . . . . . . .       . . . . . . .          . . . . . . .         . .   8
For Paperwork Reduction Act Notice, see separate instructions.              Cat. No. 16146D                        Form 8845 (Rev. 1-2020)