Form Mo 419-1524 - Missouri Schedule B - Enterprise Zone Employees Training Credits

MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT

MISSOURI SCHEDULE

ENTERPRISE ZONE:

B

EMPLOYEES TRAINING CREDITS

READ PAGES 29-30 OF INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORM

IF ITEM (16) ON FORM 135, OR ITEM (10) ON FORM 135-A WAS CHECKED “YES,” COMPLETE THE FOLLOWING INFORMATION

S

THE FOLLOWING EMPLOYEE/RESIDENTS AND DIFFICULT TO EMPLOY EMPLOYEES WERE TRAINED DURING CALENDAR YEAR _______

OR TAX YEAR BEGINNING ________________________ _______, _______, ENDING ________________________ _______, _______

NAME OF FACILITY

DATE FACILITY INITIALLY QUALIFIED FOR CREDITS

FACILITY FEDERAL I.D. NO.

(COMMENCEMENT DATE, MONTH/DAY/YEAR)

AND

THIS SCHEDULE IS TO BE COMPLETED ONLY BY TAXPAYERS CLAIMING ENTERPRISE ZONE TAX BENEFITS AND IS TO BE ATTACHED TO

TAXPAYER FEDERAL I.D. NO.

FORM 135 OR FORM 135-A, WHICHEVER IS APPLICABLE.

AND

IMPORTANT: ALPHABETICALLY list the FULL names of ONLY those employees, who at the time of training, were either RESIDENTS of any Missouri enterprise zone, or “DIFFICULT TO EMPLOY”:

unemployed at least 3 months at the time hired. TRAINING must have occurred NO EARLIER THAN 90 DAYS BEFORE THE FACILITY COMMENCED OPERATIONS (see above date and Line

FACILITY MISSOURI TAX I.D. NO.

(13) of Form 135). TRAINING must have occurred AFTER THE ENTERPRISE ZONE DESIGNATION DATE (see page 11), and DURING THIS TAX PERIOD. INCLUDE MONTH, DAY AND YEAR

(MITS)

for beginning and ending dates of training program. The CREDIT AMOUNT is limited to a MAXIMUM of $400 PER EMPLOYEE. NO CREDITS WILL BE ALLOWED FOR EMPLOYEES NOT

LISTED ON EITHER SCHEDULE C OR D. (See instructions, pages 29-30.)

AMOUNT OF

WAS TRAINEE

WAS TRAINEE

PERIOD OF TRAINING

HOURS

YOUR TOTAL COST

RESIDENT &

DIFFICULT TO

NAME OF EMPLOYEE

DATE HIRED

TRAINING CREDIT

TRAINEE’S

BRIEF DESCRIPTION OF

SPECIFY BEGINNING

TRAINING

TO TRAIN

LISTED ON

EMPLOY AND LISTED

TRAINED (ALPHABETIZE)

(MO/DAY/YR)

CLAIMED IN PRIOR

SOCIAL SECURITY NO.

TRAINING RECEIVED

AND ENDING DATES

SCHEDULE C?

ON SCHEDULE D?

RECEIVED

EMPLOYEE

TAX YEARS

(MO/DAY/YR)

(YES OR NO)

(YES OR NO)

USE SEPARATE SHEET(S) IF NECESSARY

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

ATTACH TO FORM 135 OR 135-A, WHICHEVER IS APPLICABLE

MO 419-1524 (11-04)

MAIL TO: FINANCIAL SERVICES SECTION, MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT, P.O. BOX 118, JEFFERSON CITY, MO 65102