Form Ur-J - Application For Eligibility - Urban Job Tax Credit Program - Florida Department Of Economic Opportunity Page 6
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9FORM UR-J
Rev. 07/01
TAX CREDIT CALCULATION FOR NEW BUSINESS
TIER
TIER I
TIER II
TIER III
(a) CREDIT AMOUNT
$1,500
$1,000
$500
(b) NUMBER OF QUALIFIED
EMPLOYEES AS OF DATE
OF APPLICATION *
(c) BASE CREDIT (b x a)
$
$
$
(d) # OF QUALIFIED
EMPLOYEES ELIGIBLE
FOR ADDITIONAL
WELFARE TRANSITION
PROGRAM CREDIT *
(e) WELFARE TRANSITION
CREDIT (d x $500.00)
$
$
$
(f) TOTAL TAX CREDIT (c + e) $
$
$
* (b) and (d):
please provide information on the Qualified Employees for whom you are claiming
on the last page of this application
C:\Documents and Settings\dev17536\My Documents\Business Development\UJTCP_Application.doc
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