01-144
(Rev.6-02/2)
b.
58300
a. T Code
ENTERPRISE OR DEFENSE READJUSTMENT PROJECT CLAIM FOR REFUND OF TEXAS STATE SALES AND USE TAX
For Projects Designated on or After September 1, 2001.
c. Taxpayer or Vendor ID number
NOTE: A separate claim must be filed for each project and each state fiscal year.
• Do not write in shaded areas
Period of claim
f. Type of claim
Mo.
Yr.
Mo.
Yr.
ENTERPRISE PROJECT
DEFENSE READJUSTMENT
d. Begin date:
e. End date:
Taxpayer or Vendor name and mailing address
ANNUAL
SEMI-ANNUAL
j. Period
g.
k.
Check here if this
is a first time claim
l.
Enter the date you received your
designation as an Enterprise Project
You have certain rights
under Ch. 559, Government Code, to review, request, and correct information we have on
m.
Blacken this box if your
FM
.
file about you. Contact us at the address or toll-free number listed on this form
address has changed
1
For Comptroller's use only
INV
SD
h. Zone number
i. Project number
2
3
Is this claim for a refund prior to August 31, 2003?
YES
NO
1. New jobs created by the project and not previously claimed
(Attach a copy of the Texas Economic Development Certification)
1.
2. $
2. Amount of refund allowed per job (Enter $5,000 for enterprise project or $2,500 for defense readjustment project)
3a.$
3. New job credit available (Multiply Item 2 by Item 1)
3b.
Job credit unused in prior periods (From Item 11 on the previous claim)
3.
Total job credit available (Item 3a plus Item 3b)
250,000.00
$
4a.
4. Maximum claim allowed for one year
Refunds previously claimed for this fiscal year (If claims are filed semi-annually)
4b.
250,000.00
Maximum allowed on this claim (Item 4a minus Item 4b)
4.
5. Maximum refund allowed (Enter the smaller of Item 3 or Item 4)
5.
6. Total Texas State Sales or Use Tax paid on invoices or contracts listed on Form 01-125, "ENTERPRISE OR
DEFENSE READJUSTMENT PROJECT - INVOICES OR CONTRACTS" (See instructions for explanation)
6.
7.
7. Carryover claim from prior periods (From Item 10 on the previous claim)
8. Total refund claim for this period (Item 6 plus Item 7)
8.
$
9.
9. Total refund allowed for this period (Enter the smaller of Item 5 or Item 8)
10. $
10. Carryover of refund claim for future period (If item 8 is larger than Item 5, enter the difference)
$
11. Job credit unused in this period which can be carried forward to a future claim (Item 3 minus Item 9)
11.
n. PM date
I declare that the information in this document and any attachments is true and
Complete this claim and mail to:
correct to the best of my knowledge and belief.
COMPTROLLER OF PUBLIC ACCOUNTS
Claimant or Authorized Agent
sign
111 E. 17th Street
here
Austin, Texas 78774-0100
Daytime phone (Area code and number)
Date
For assistance call 1-800-531-5441, Extension 3-4545 toll free nationwide, or call 512/463-4545.
(From a Telecommunications Device for the Deaf (TDD) ONLY call 1-800-248-4099 toll free , or call 512/463-4621.)