MISSOURI DEPARTMENT OF REVENUE
SMALL BUSINESS DEDUCTION
FOR NEW JOBS UNDER SECTION 143.173, RSMo.
NAME OF SMALL BUSINESS
FEDERAL EMPLOYER ID NUMBER
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MO TAX ID NUMBER
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CITY, STATE, ZIP CODE
SOCIAL SECURITY NUMBER
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TYPE OF SMALL BUSINESS
LIMITED LIABILITY COMPANY
LIMITED LIABILITY PARTNERSHIP
OTHER BUSINESS ENTITY (SPECIFY BUSINESS TYPE) ______________________________________
For all taxable years beginning on or after January 1, 2011 (if pass through entity, see special instructions on page 2), and ending on or before
December 31, 2014, if a small business creates new jobs, it may qualify to claim a deduction in the taxable year each new employee completes at
least 52 weeks of full-time employment. The deduction is equal to $10,000 for each new job created or $20,000 for each new job created by a small
business that paid at least 50 percent of all employees’ health insurance premiums.
The Small Business:
• Must employ fewer than 50 full-time or part-time employees at all times during the tax year for which the deduction is requested to qualify
for the deduction. Any small business affiliated with another business must consider each employee of all affiliated businesses
in determining if it employs fewer than 50 full-time or part-time employees. Two businesses are affiliated if either party has power to
control the other, or a third party controls or has the power to control both parties. For purposes of the deduction, a part-time employee is defined
as one who works fewer than 30 hours per week.
• Must be subject to income taxes imposed in Chapter 143, RSMo.
• Must ensure all new employees have completed at least 52 weeks of full-time employment prior to including them in the deduction
calculation. Upon completion of at least 52 weeks, the employee becomes a qualifying full-time employee and the small business
may choose a date to compare the number of qualifying full-time employees employed in the previous calendar year. See the example
below for further instruction.
• Must pay wages of at least the county average wage or the state average wage if the county wage is in excess of the state wide
average. The county average wage is calculated by the Department of Economic Development and can be found at:
• Must pay at least 50 percent of the health insurance premium for all full-time employees, not just for new employees, to claim the $20,000 deduction.
• Must complete at least 52 consecutive weeks of employment and work an average of at least 35 hours per week before the small business
may claim the deduction.
• May not have been previously employed in Missouri by the small business or any business affiliated with the small business for a period of
12 months prior to the creation of the new job.
Example: A small business chooses November 1 as its comparison date. On that date in 2011, the business had 25 full-time employees who had
been employed for at least 52 weeks, and five employees who had been employed for 20 weeks. Also on that date, the business hires two new employees
who had not been employed by the business. If all these employees remain employed through November 1, 2012, the small business is eligible to
claim deductions for seven of its employees in determining its 2012 tax liability. Although five of these employees had been employed prior to November 1,
2011, they would not qualify as full-time employees on that date because they had not completed 52 weeks of employment. Although those five employees
could have qualified for the deduction prior to November 1, 2012, the two employees hired on November 1, 2011 could not. Because a small business
can select only one comparison date per year, the small business selected November 1, 2012 so it could claim the deduction for all seven employees.
1. Comparison Date: Each small business must choose a date to compare the number of full-time employees in the
deduction year and the number employed in the immediately preceding year. Enter your comparison date: (MM/DD/YYYY) ....
2. Employees in Deduction Year: The number of full-time employees employed on your comparison date in the deduction year.
3. Employees in Previous Year: The number of full-time employees employed on your comparison date in the immediately
4. Subtract Line 3 from Line 2 to determine the number of eligible employees ..............................................................................
IN THE TABLE ON PAGE TWO, ENTER THE REQUESTED INFORMATION FOR EACH NEW EMPLOYEE REFLECTED ON LINE 4.
Note: If the employee worked in more than one county, enter the county in which he or she worked for the majority of his or her 52 weeks of employment.
I hereby certify to the Department of Revenue that the employees listed on page 2 meet the requirements outlined in Section 143.173, RSMo, and the small business claiming a deduction meets
the requirements outlined in this document and in Section 143.173, RSMo. Under penalties of perjury, I declare that I have examined the above information, including accompanying sched-
ules and statements, and to the best of my knowledge and belief it is true, correct, and complete. I also declare under penalties of perjury that the business does not employ any illegal or unau-
thorized aliens as defined under federal law and that the business is not eligible for any tax exemption, credit or abatement if it employs such aliens. I also declare that the business participates
in a federal work authorization program with respect to the employees working in connection with any contracted services, and the business does not knowingly employ any person who is an
unauthorized alien in connection with any contracted services. I am the owner of or an officer of the above business and am authorized to apply for the small business deduction for
new jobs on behalf of the small business identified above.
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