Form Mo 419-1524 - Missouri Schedule S - New/expanded Business Facility And Enterprise Zone: Employees And Investment Credits
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1MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT
MISSOURI SCHEDULE
S
NEW/EXPANDED BUSINESS FACILITY AND ENTERPRISE ZONE:
EMPLOYEES AND INVESTMENT CREDITS
READ PAGES 22-25 OF INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORM
S
FOR CALENDAR YEAR _____ OR TAX YEAR BEGINNING _________________ _____, _____, ENDING _________________ _____, _____
NAME OF FACILITY
FACILITY FEDERAL I.D. NO.
AND
TAXPAYER FEDERAL I.D. NO.
THIS SCHEDULE MUST BE FILED EACH YEAR TAX BENEFITS ARE CLAIMED.
ATTACH THIS SCHEDULE TO FORM 135 OR 135-A, WHICHEVER IS APPLICABLE.
AND
FACILITY MISSOURI TAX I.D. NO.
COMPUTING “NEW BUSINESS FACILITY EMPLOYEES” AND “NEW BUSINESS FACILITY
(MITS)
INVESTMENT”
NEW BUSINESS FACILITY EMPLOYEES (FULL-TIME OR 20
NEW BUSINESS FACILITY INVESTMENT (ORIGINAL COST/8 TIMES
MONTHS
HRS. OR 80% SEASON, LAST WORK DAY EACH MONTH)
ANNUAL RENT, LAST WORK DAY EACH MONTH)
(X)
(A) YEAR FILING
(B) BASE YEAR
(C) YEAR FILING
(D) BASE YEAR
TAX YEAR ENDING
TAX YEAR ENDING
TAX YEAR ENDING
TAX YEAR ENDING
COLUMN
LINE
_________ _________, ____
_________ _________, ____
_________ _________, ____
_________ _________, ____
1
$
$
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
13
13
TOTAL
14
14
AVERAGE
15
15
16
$
16
17
(
)
17
TRANSFERRED EMPLOYEES
18
($
)
18
TRANSFERRED INVESTMENT
NEW BUSINESS
19
19
FACILITY EMPLOYEES
NEW BUSINESS FACILITY
20
$
20
INVESTMENT
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS SCHEDULE, AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT AND COMPLETE.
TAXPAYER’S OR DESIGNEE’S SIGNATURE
DATE
PREPARER’S SIGNATURE
DATE
❿
❿
MUST ACCOMPANY FORM 135 OR 135-A WHICHEVER IS APPLICABLE.
MAIL ALL CLAIMS FOR TAX BENEFITS AND ALL RELATED INQUIRIES TO:
FINANCIAL SERVICES SECTION
MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT
P.O. BOX 118
JEFFERSON CITY, MISSOURI 65102
MO 419-1524 (11-04)
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