PAGE 2
EMPLOYEE
EMPLOYEE
COUNTY
TOTAL WAGES
ANNUAL COUNTY
T O T A L
EMPLOYEE NAME
WHERE
SOCIAL
TITLE/
PAID FOR 52
AVERAGE
FIRST, MIDDLE INITIAL, LAST
D E DU CT I O N
SECURITY
POSITION
EMPLOYEE
CONSECUTIVE
WAGE
WORKED
NUMB ER
CODE
WEEKS
$
$
$
1.
$
$
$
2.
$
$
$
3.
$
$
$
4.
$
$
$
5.
$
$
$
6.
$
$
$
7.
$
$
$
8.
$
$
$
9.
$
$
$
10.
0.00
$
Total Deduction: Enter your total deduction here and on Form MO-1040, Line 18B; or on Form MO-1120, Line 7. . . . . . . . . . . . . . .
If you hired more than ten new employees, please print an additional page.
Special Instructions for Pass-Through Entities:
For tax years ending on or after August 28, 2012, S-corporations, limited liability companies, limited liability partnerships or other pass-through
business entities may also qualify for the small business deduction for new jobs under Section 143.173, RSMo.
The deduction year comparison date can be any date within the tax year and the previous year comparison date will be one year earlier. Each partner,
member or shareholder must attach a completed Form MO-NJD when claiming the small business deduction on their income tax return.
Allocation: Complete the Allocation Schedule below listing each partner, member, or shareholder and their applicable amount of the total small
business deduction (round to whole numbers). The deduction must be allocated in the same proportion as income is allocated for income tax
purposes. The pass-through entity qualifying for the deduction must provide a copy of this form to each partner, member or shareholder claiming the
deduction, who must file the copy with their return.
ALLOCATION SCHEDULE
NAME OF PARTNER, MEMBER OR SHAREHOLDER
SOCIAL SECURITY NUMBER OR FEIN
SHARE %
DEDUCTION AMOUNT
$
%
1.
$
%
2.
$
%
3.
$
%
4.
$
%
5.
$
%
6.
$
%
7.
$
%
8.
$
%
9.
$
%
10.
0.00
100
$
%
Total Deduction: Enter your total deduction here and on Form MO-1040, Line 18B. . . . . . . . . . . . . . . . . .
If you have more than ten partners, members or shareholders, please print an additional page.
MO-NJD (02-2013)