Jobs And Investment Tax Credit Worksheet For Tax Year 2005 printable pdf download

JOBS AND INVESTMENT TAX CREDIT

WORKSHEET For Tax Year 2005

36 M.R.S.A. § 5215

TAXPAYER NAME: _____________________________________ EIN/SSN: _________________

Note:

Owners of pass-through entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible

investment, see instructions. Also, please provide name and ID number of the pass-through entity on the

lines below.

NAME OF PASS-THROUGH ENTITY

EIN/SSN

__________________________________________________________________

___________________________________

Part 1

1. 2005 qualified investment attributable to property located in Maine

(must be at least $5,000,000) ................................................................................................. 1. ______________

2. 2005 qualified federal credit (See instructions. The taxpayer must meet the criteria in

Parts 2A & 2B below in order to claim a credit amount on this line.) ....................................... 2. ______________

3. Carryover from prior years (see instructions) ........................................................................... 3. ______________

4. Total available credit (add lines 2 and 3). Do not enter more than $500,000. Enter here and

on Form 1120ME, Schedule C, line 29b, or Form 1040ME, Schedule A, line 18 ........................... 4. ________________

VERIFICATION OF JOB CREATION FOR INVESTMENT IN 2005 (See instructions)

Part 2A

5. 2002 unemployment contribution wages _______________ X .5833 ................................... 5. ________________

6. 2003 unemployment contribution wages _______________ X .5833 ................................... 6. ________________

7. 2004 unemployment contribution wages _______________ X .5833 ................................... 7. ________________

8. Enter greatest of line 5, 6 or 7 ................................................................................................. 8. ________________

9. 2005 unemployment contribution wages _______________ X .5833 ................................... 9. ________________

10. New jobs credit base. Subtract line 8 from line 9 (You do not qualify for the credit if less than

$700,000) .............................................................................................................................. 10. ________________

Part 2B

11. Date qualified investment placed in service in Maine .............................................................. 11. _______________

12. Were there at least 100 new jobs created within 2 years of the date on line 11? ......................

Yes

If so, as of what date? ............................................................................................................ 12. ________________

Note: jobs created between 8/1/98 and 10/1/01 must:

a. have group health insurance coverage; ...........................................................................12a.

Yes

b. be covered by a retirement program subject to the Employee Retirement Income

Security Act of 1974 29 US Code §101-1461; ................................................................ 12b.

Yes

c. be paid higher than the average per capita wages in the labor market area of the

employment. ................................................................................................................. 12c.

Yes

Rev. 12.2.05