Form Ia 133 - Iowa New Jobs Tax Credit - 2015 Page 2

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Schedule A - Employees in New Jobs Directly Resulting from the Project
A
B
C
D
E
F
Employee Name
Employee
Job Title
Wages Paid
Hours
Qualifying Taxable
SSN
During
Share
Wages: Multiply the
Calendar Year
lesser of Column D
or $27,300 by
Column E
Total New Jobs (sum column E Hours Share) Enter in line 3 .........................
Total Qualifying Taxable Wages (sum column F) .........................................
Schedule B – Employees in New Jobs Directly Related to the New Jobs in Schedule A
A
B
C
D
E
F
Employee Name
Employee
Job Title
Wages Paid
Hours
Qualifying Taxable
SSN
During
Share
Wages: Multiply the
Calendar Year
lesser of Column D
or $27,300 by
Column E
Total New Jobs (sum column E Hours Share) Enter in line 4 .........................
Total Qualifying Taxable Wages (sum column F) .........................................
41-133b (07/17/15)

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