Form Ur-J - Application For Eligibility - Urban Job Tax Credit Program - Florida Department Of Economic Opportunity Page 7
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9FORM UR-J
Rev. 07/01
TAX CREDIT CALCULATION FOR EXISTING 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) NUMBER OF QUALIFIED
EMPLOYEES AS OF 12
MONTHS BEFORE DATE OF
APPLICATION
(d) NUMBER OF ADDITIONAL
QUALIFIED EMPLOYEES
(b)–(c)
(e) BASE CREDIT (d x a)
$
$
$
(f) # OF ADDITIONAL QUALIFIED
EMPLOYEES ELIGIBLE
FOR ADDITIONAL
WELFARE TRANSITION
PROGRAM CREDIT
(g) WELFARE TRANSITION
CREDIT (f x $500.00)
$
$
$
(h) TOTAL TAX CREDIT (e + g) $
$
$
* (d) and (f):
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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