Form 135 - A - Application For Subsequently Claiming Tax Benefits (Page 2 of 3) in pdf

Claimed on

State

MO Return

6a. 1

year:

Beginning:

____________________

Ending:

____________________

$ _________

6b. 2

year:

Beginning:

____________________

Ending:

____________________

$ _________

6c. 3

year:

Beginning:

____________________

Ending:

____________________

$ _________

6d. 4

year:

Beginning:

____________________

Ending:

____________________

$ _________

6e. 5

year:

Beginning:

____________________

Ending:

____________________

$ _________

6f.

year:

Beginning:

____________________

Ending:

____________________

$ _________

6g. 7

year:

Beginning:

____________________

Ending:

____________________

$ _________

6h. 8

year:

Beginning:

____________________

Ending:

____________________

$ _________

6i.

year:

Beginning:

____________________

Ending:

____________________

$ _________

6j.

year:

Beginning:

____________________

Ending:

____________________

$ _________

If this new or expanded facility was leased from another person(s), enter the net MONTHLY rental/lease cost. INCLUDE ANY

LEASED LAND, BUILDING(S), MACHINERY, EQUIPMENT, FURNITURE, FIXTURES AND ANY OTHER TANGIBLE PERSONAL

DEPRECIABLE PROPERTY IN USE EXCEPT INVENTORIES.

Did the taxpayer requesting tax benefits have interest(s) in any other BUSINESS (ES) in MISSOURI that FILE A

 YES



SINGLE MISSOURI TAX RETURN WITH THIS FACILITY for this tax period?

Answer YES only if a single Missouri return is filed for these businesses.

8a. List names and REIN numbers of other businesses FILING SINGLE MISSOURI RETURN WITH THIS FACILITY.

 YES



Did the taxpayer of this new or expanded facility operate any other FACILITY (IES) in MISSOURI besides this new

or expanded facility during this tax period?

Answer YES only if a single Missouri return is filed for these facilities.

9a. Lisa names and addresses of all Missouri facilities FILING SINGLE MISSOURI TAX RETURN WITH THIS FACILITY.

THIS PORTION IS TO BE COMPLETED ONLY BY TAXPAYERS CLAIMING ENTERPRISE ZONE TAX BENEFITS. DO NOT COMPLETE IF THIS

FACILITY IS NOT WITHIN AN ENTERPRISE ZONE.

 YES



10. Excluding local, state or federal government funding sources, did the TAXPAYER incur costs to train employees

AT THIS ENTERPRISE ZONE FACILITY DURING THIS TAX PERIOD? If YES, attach Schedule B. (Trainee must

be zone resident or “difficult to employ.”)

 YES



11. Were any of THIS FACILITY’S employees residents of a MISSOURI ENTERPRISE ZONE DURING THIS TAX

PERIOD?

If YES, attach Schedule C. (Addresses must be verified by enterprise zone representative(s).)

 YES



12. Were any of THIS FACILITY’S employees unemployed at least 90 days OR eligible for Temporary Assistance or

the General Relief Program AT THE TIME HIRED FOR THIS DEVELOPMENT?

If YES, attach Schedule D.

Form 135 - A - Application For Subsequently Claiming Tax Benefits Page 2

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