Form Rev-765 Ct - Schedule Jc - Annual Report Page 7

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PAGE 1
REV-765 CT (01-05)
ANNUAL REPORT
Keystone Opportunity Zone Job
Business Name
Creation Tax Credit or Keystone
COMMONWEALTH OF PENNSYLVANIA
Opportunity Expansion Zone Job
Account ID #
DEPARTMENT OF REVENUE
Creation Tax Credit
BUREAU OF CORPORATION TAXES
(Act No. 119, 2000)
CREDIT FOR TAX YEAR
ACCOUNTING DIVISION
PO BOX 280701
SCHEDULE JC
20
HARRISBURG PA 17128-0701
INSTRUCTIONS
1)
First time filers are to complete Schedule JC Section I below to compute the Base Year average monthly jobs, then Section II below to
compute the average monthly jobs for the calendar year of employment, then Sections III and V on Page 2 to calculate the Job Tax
Credit/Job Creation Tax Credit.
2)
Companies that have filed previously are to complete Schedule JC Section II below to compute the average monthly jobs for the calendar
year of employment, then Sections III and V on Page 2 to calculate the Job Tax Credit/Job Creation Tax Credit.
3)
Questions regarding eligibility can be directed to DCED. Telephone 717-787-3405
4)
Questions regarding Schedule JC can be directed to PA Dept. of Revenue. Telephone 717-705-6134 <> Fax 717-705-6227
FIRST TIME FILERS ONLY
I
Section
Pennsylvania Base Year 20
Calculate the monthly average of ALL full-time jobs in PA for the Base Calendar Year.
Base calendar year is the later of:
1 - the calendar year 2000
OR
2 - the calendar year immediately preceding the first year
during which relocation to a KOZ/KOEZ occurred.
Monthly Average
ALL PA JOBS
Record the number of Full-time Jobs as of the LAST DAY of each Month.
State
of ALL Full-time
jobs in PA
Total
January
February
March
April
May
June
July
August September October November December
Divide
=
=
by 12
•
In Section III on Page 2, record above result to Columns A and C into the Pennsylvania Base Year.
•
Complete Section II.
II
Section
Calendar Year of Employment 20
1 - Calculate the monthly average of ALL full-time jobs in PA for this Calendar Year and record in both Block A’s below.
2 - Calculate the monthly average of ALL QUALIFIED full-time jobs within ALL KOZ/KOEZ for this Calendar Year and record in
both Block B’s below.
3 - Calculate the net monthly average of ALL Non-QUALIFIED full-time jobs within PA for this Calendar Year and record in Block C.
Monthly Average
ALL PA JOBS
Record the number of Full-time Jobs as of the LAST DAY of each Month.
of ALL Full-time
State
Total
jobs in PA
January
February
March
April
May
June
July
August September October November December
Divide
A
=
=
by 12
Monthly Average of
Record the number of Full-time Jobs as of the LAST DAY of each Month.
ALL QUALIFIED KOZ/KOEZ JOBS
Qualified Full-time jobs
State
Total
in all KOZ/KOEZ
January
February
March
April
May
June
July
August September October November December
Divide
B
=
=
by 12
Monthly Average
Monthly Average of
Monthly Average of
of ALL Full-time
Qualified Full-time
Non-Qualified Full-time
jobs in PA
jobs in all KOZ/KOEZ
jobs in PA
minus
equals
A
B
C
•
In Section III on Page 2, record results to Columns A, B and C for this Calendar Year of Employment.
•
In Section V on Page 2, record A to Line 1.
•
In Section V on Page 2, record B to Line 4.
•
Complete Section V on Page 2.

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