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Missouri Department of Revenue
Department Use Only
New Jobs Training Program
(MM/DD/YY)
Form
Employers Withholding Form
MO-JTC
Reporting Period
(MM/YY)
Missouri Tax I.D.
Federal Employer
Number
I.D. Number
Name
Project Name
Owner Name
Project Number
City
State
Zip Code
Phone Number
(__ __ __) __ __ __ - __ __ __ __
Your completed Employer’s Return of Income Taxes Withheld
(Form
MO-941) or proof of filing for electronic filers must accompany this form.
Form MO-JTC must be submitted using the same frequency that you file Form MO-941.
Form MO-JTC and all required attachments must be
received by the 20th of the month in order to guarantee timely processing. All figures on Form MO-JTC must be rounded to the nearest dollar.
Figures calculated below a dollar will be disregarded during processing.
1.
Enter the total amount of gross wages paid to the first 100 qualifying persons employed in the New Jobs Training Program (NJTP) this period.
(Please attach a wage listing—see “sample form” attached.)
2. The NJTP credit fixed percentage is 2.5% (.025)
3. Multiply amount entered on Line 1 by Line 2 to arrive at the total credit allowed on the first 100 qualifying employees.
4. Enter the total amount of gross wages paid to qualifying employees exceeding the first 100 employed in the NJTP this period. (Please attach a
wage listing—see “sample form” attached.)
5. The NJTP credit fixed percentage allowed is 1.5% (.015)
6. Multiply amount entered on Line 4 by Line 5 to arrive at the total credit allowed on the number of qualifying employees exceeding the first 100
employed in the NJTP.
7. Add Line 3 to Line 6 and enter here. This is your total credit amount.
8. Enter the total amount of withholding tax liability from line 1 of the Form MO-941 (Amount must match amount filed for tax period for credit to be approved).
9. Enter the total number of jobs (attach a list) reported for this withholding claim.
10. Enter the average hourly wage of the jobs reported for this withholding claim.
1. Gross wages this filing period attributable to New Jobs Training Program (NJTP)
on first 100 qualifying jobs .......................................................................................................
1
$
.025
2. NJTP credit percentage on first 100 qualifying jobs is 2.5% ...................................................
2
3. NJTP credit for first 100 qualifying jobs (multiply Line 1 by Line 2). ......................................
3
$
4. Gross wages attributable to NJTP qualifying jobs in excess of first 100 jobs,
if applicable. ............................................................................................................................
4
$
.015
5. NJTP credit percentage over 100 qualifying jobs is 1.5%. .....................................................
5
6. NJTP credit in excess of first 100 qualifying jobs (multiply Line 4 by Line 5)..........................
6
$
7. Total NJTP credit amount (add Line 3 and Line 6). ................................................................
7
$
8. Withholding Tax liability from Line 1 of Form MO-941.............................................................
8
$
9. Total number of jobs (on attached list) reported for this withholding claim. ...........................
9
10. Average hourly wage of jobs reported on Line 9. ................................................................... 10
$
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
Signature
E-mail Address
Printed Name
Phone Number
Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
(__ __ __) __ __ __ - __ __ __ __
*14200010001*
14200010001