Jobs And Investment Tax Credit Worksheet - 2003
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1JOBS AND INVESTMENT TAX CREDIT
WORKSHEET For Tax Year 2003
36 M.R.S.A. § 5215
TAXPAYER NAME: __________________________________________ EIN/SSN: __________________
Note: Owners of passthrough entities (partnerships, LLCs, S corporations, trusts, etc.) making an eligible
investment, see instructions. Also, please provide name and ID number of the passthrough entity on the
lines below.
NAME OF PASSTHROUGH ENTITY
EIN/SSN
_____________________________________________________
______________________
Part 1
1.
2003 qualified investment attributable to property located in Maine
(must be at least $5,000,000) .....................................................................................................
_______________
2.
2003 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.) ................................................
_______________
3.
Carryover from prior years (see instructions) ...........................................................................
_______________
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 14 _______________
VERIFICATION OF JOB CREATION FOR INVESTMENT IN 2002 (See instructions)
Part 2A
5.
2000 unemployment contribution wages ________________ X .5833 ...................................
_______________
6.
2001 unemployment contribution wages ________________ X .5833 ...................................
_______________
7.
2002 unemployment contribution wages ________________ X .5833 ..................................
_______________
8.
Enter greatest of line 5, 6 or 7 ...................................................................................................
9.
2003 unemployment contribution wages ________________ X .5833 ..................................
_______________
10.
New jobs credit base. Subtract line 8 from line 9 (You do not qualify for the credit if less than
$700,000) ...................................................................................................................................
_______________
Part 2B
11.
Date qualified investment placed in service in Maine ...............................................................
_______________
12.
Were there at least 100 new jobs created within 2 years of the date on line 11? .......................
Yes
No
If so, as of what date? ...............................................................................................................
_______________
Note: jobs created between 8/1/98 and 10/1/01 must:
a.
have group health insurance coverage; ......................................................................................
Yes
No
b.
be covered by a retirement program subject to the Employee Retirement Income Security Act
of 1974 29 US Code §101-1461; ...............................................................................................
Yes
No
ment.
c.
be paid higher than the average per capita wages in the labor market area of the employ
Yes
No
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