Schedule Eotc-1 - Economic Opportunity Tax Credit Page 2

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5. Annual New Jobs/Payroll Factor Computation
Number of Employees
Payroll of Employees
a. Pre-Credit Employment Levels:
New-Jobs Employed for Credit:
Total Employment in WV:
Total WV Payroll
b. Payroll Factor:
New Jobs Payroll
Payroll Factor
/
=
6. Annual Tax Offset Factor:
If Median compensation of new jobs is at least $37,701 (for 2012) then tax offset is 100%. Otherwise tax offset is
80%. Median compensation for this year is ______________________________. (See Administrative Notices for values
for other years.)
TAX CREDIT APPLICATION COMPUTATION
7. A. Tax Subject to Credit Offset
Tax Type
Pre-Credit Liability
X Payroll Factor
X Offset Factor
= Tax Subject to Credit Offset
B&O
X
X
=
BFT
X
X
=
CNIT
X
X
=
PIT*
X
X
=
TOTAL
X
X
=
B. Economic Opportunity Credit Applied
Tax Subject to Credit
Tax Credit
Tax Type
Pre-Credit Liability
Applied
Offset
After Credit Net Tax
B&O
BFT
CNIT
PIT*
TOTAL
* Individual Shareholders of S corporations and partnerships will also need to file a Personal Income Tax credit schedule.
8. Tax Credit Recap
a. Total credit pro-rated for this year
b. Unused credit carryover from last year
+
c. Total credit available this year
=
d. Total credit used this year (sum of “tax credit applied column of Section 7B)
e. Credit remaining for carryover to next year (subtract amount on line 8d from the
amount on line 8c, and enter here [if the next year is year 13, enter $0])
Under penalties of perjury, I declare that I have examined this credit claim form (including accompanying schedules and
statements) and to the best of my knowledge it is true and complete.
Signature of Taxpayer
Name of Taxpayer (type or print)
Title
Date
Telephone Number
Person to contact concerning this return
Signature of Preparer other than Taxpayer
Address
Date
Schedule EOTC-1 — Rev. 6-12
Page 2 of 2

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