Form Mo-Jtc - New Jobs Training Program Employers Withholding Form Page 2
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1
2Missouri Department of Revenue
FORM MO-JTC AND MO-RJC REQUIRED WAGE LISTING
This is a “sample form” (based on the project’s application) to include the type of information
that is required to be attached to each Form MO-JTC or Form MO-RJC submitted to DOR.
Please provide a wage listing for the first 100 qualifying jobs indicated on Line 1 of your Form MO-JTC or Form MO-RJC. The infor-
mation needed is the occupational title, number of jobs, and the wage/salary paid per occupational title. You will also need to total the
amount of wages for the first 100 qualifying jobs. If you have questions, please contact our office at (573) 751-5759.
Occupational Title
Number
Wage/Salary
Occupational Title
Number
Wage/Salary
First 100 Jobs:
Total Gross Wages for the First 100 Qualifying Jobs
_____________________
The section below is used to provide a wage listing for the qualifying jobs EXCEEDING the first 100. This is indicated on Line 4 of
your Form MO-JTC or Form MO-RJC. The instructions for completing this form are the same as above.
Occupational Title
Number
Wage/Salary
Occupational Title
Number
Wage/Salary
Total Gross Wages for the Qualifying Jobs in Excess of the First 100
_____________________
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