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Schedule 230 - Request For Waiver Or Reduction Of 30 Per Cent Requirement - Missouri Department Of Economic Development

MISSOURI SCHEDULE

230

MISSOURI DEPARTMENT OF ECONOMIC DEVELOPMENT

ENTERPRISE ZONE:

REQUEST FOR WAIVER OR REDUCTION OF 30% REQUIREMENT

READ PAGES 33-34 OF INSTRUCTIONS CAREFULLY BEFORE COMPLETING FORM

FOR CALENDAR YEAR _____ OR TAX YEAR BEGINNING _________________ _____, _____, ENDING _________________ _____, _____

THIS SCHEDULE MAY BE FILED ONE TIME FOR ONE TAX PERIOD ONLY BY TAXPAYERS CLAIMING ENTERPRISE ZONE TAX

BENEFITS WHO EMPLOY 20 OR LESS FULL-TIME EMPLOYEES AT THIS FACILITY. ATTACH THIS SCHEDULE TO FORM 135 OR FORM

135-A, WHICHEVER IS APPLICABLE. VERIFICATION OF FULL-TIME EMPLOYEES MAY BE REQUIRED (see instructions, pages 33-34).

NAME OF FACILITY

FACILITY FEDERAL I.D. NO.

AND

TAXPAYER FEDERAL I.D. NO.

IMPORTANT: IN ORDER TO QUALIFY FOR THE EXEMPTION AND THE INVESTMENT CREDIT, IT IS REQUIRED THAT AT LEAST THIRTY

PERCENT OF THE NEW EMPLOYEES BE “SPECIAL” EMPLOYEES (at the time hired for the new development, unemployed for at least 90

days, or eligible for Temporary Assistance or General Relief) OR BE RESIDENTS OF A MISSOURI ZONE, FOR AT LEAST ONE FULL MONTH.

AND

IF THE TAXPAYER CANNOT MEET THIS REQUIREMENT, HE/SHE MAY COMPLETE THIS SCHEDULE TO REQUEST EITHER: (1) A

FACILITY MISSOURI TAX I.D. NO.

ONE-TIME WAIVER IF AN AVERAGE OF 10 or less FULL-TIME EMPLOYEES were employed AT THIS FACILITY DURING THIS TAX PERIOD;

(MITS)

or (2) A ONE-TIME REDUCTION IF AN AVERAGE OF 11 to 20 FULL-TIME EMPLOYEES were employed AT THIS FACILITY DURING THIS TAX

PERIOD.

I, ______________________________________________ , _________________________________________________

FACILITY SPOKESPERSON

SPOKESPERSON’S TITLE

of the forenamed facility, do hereby certify on this __________________________ day of _______________________ ,

_____ that a total AVERAGE of __________ people were employed FULL-TIME at this facility DURING THIS TAX

NO. OF EMPLOYEES

PERIOD. (See instructions, page 34 for calculating total average number of full-time employees. VERIFICATION MAY

BE REQUIRED.)

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

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

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

JEFFERSON CITY, MISSOURI 65102.

MO 419-1524 (11-04)

Schedule 230 - Request For Waiver Or Reduction Of 30 Per Cent Requirement - Missouri Department Of Economic Development