Form WV/NGRET-1
SCHEDULE FOR APPLICATION OF
Orig. 6/03
TAX CREDIT FROM
"NATURAL GAS JOBS RETENTION ACT"
Business Name
West Virginia Identification Number
Business Address (Please include City, State and Zip Code)
Part I - Number of Jobs Held by Qualified Employees for Taxable Year Ending ______________________ .
1.
Column I
Column II
Column III
Column IV
Month
Number of Jobs Held by
Number of Jobs Held by
Average Number of Jobs
Qualified Employees
Qualified Employees
Held by Qualified Employees
(Beginning of Month)
(End of Month)
(Column II + Column III)/2
January
February
March
April
May
June
July
August
September
October
November
December
2. Number of Jobs for Taxable Year (Total of Column IV divided by 12) (Average of January
through December Average Number of Jobs Held by Qualified Employees) .............................
Part II - Calculation of Credit
3. Number of Line 2 Jobs That are New Jobs as Defined by Act ...................................................
4. Number of Line 2 Jobs That are Pre-existing Jobs as Defined by Act .......................................
5. Total Number of Qualified Jobs (Line 3 plus Line 4) ...................................................................
6. Total Number of Qualified Jobs on January 1, 1996 ...................................................................
7. Qualified Jobs Ratio
(Line 5 divided by Line 6; expressed as a decimal to two decimal places) ................................
8. Amount of Credit
(If Line 7 is greater than 0.60, enter Line 5 times $1,000, otherwise enter zero) .......................
9. Amount of Business and Occupation Tax Under the Natural Gas Storage
Provisions of the Tax for the Taxable Year Indicated in Part I ...................................................
10. Amount of Credit Applied (Lesser of Line 8 or Line 9) ................................................................
1
2
