Form Nd-1(A) - Employer Emst Non-Deduction Credit Report
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1Form ND-1(a)
Employer EMST Non-Deduction Credit Report (Credits other than "10% Rule")
File with EMST-5 Form
Capital Tax Collection Bureau
DETAILED INSTRUCTIONS FOR THIS FORM ARE ON THE REVERSE SIDE OF THE EMST-5 FORM
(1) EMST Employer No.
(2) Employer Name
(5) EMST Tax Amount (combined amount, up to a
maximum of $52, if both the muncipality & its
coterminous SD levy the tax)
(3) Tax Year
(4) EMST Taxing Jurisdiction(s) (Municipality and/or School District)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
Amount of
Amount of
Enter name of taxing
EMST Paid
EMST Paid
Total Row of F +
jurisdiction(s) for this
to/for
to/for
EMST due for
Column J (but no
payment (if same as
"Same"
"Different"
this report's
Column I
more than Tax
C
Prior Employer's Name
Box 4 above, enter
Taxing
Taxing
taxing
- $52 (if
Amount in Box 5
O
or Enter "Taxpayer" if
payment in Column F, if
Jurisdiction
Jurisdiction
jurisdiction
Column G
less than
above). This is the
D
Employee Paid Tax
different, enter in
as in Box 4
than Box 4
(from Block 5
total +
0, enter
allowable credit for
Soc. Sec. No.
Employee Name
E
Personally
Column G)
above
above
above)
Column H
0)
this individual.
For Column F: total of entries up to tax amount in Box 5 above; For Column G: total of entries up to $52
For Column F: total of entries up to tax amount in Box 5 above; For Column G: total of entries up to $52
For Column F: total of entries up to tax amount in Box 5 above; For Column G: total of entries up to $52
For Column F: total of entries up to tax amount in Box 5 above; For Column G: total of entries up to $52
For Column F: total of entries up to tax amount in Box 5 above; For Column G: total of entries up to $52
TOTAL THIS ND-1(a) PAGE
TOTAL ALL ND-1(a) PAGES (IF LAST PAGE). Enter this amount on Form EMST-5, Line 13.
This form, including an Excel, self-calculating version, is available at
ND-1(a) Form Page ____ of ____
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Parent category: Financial