Form 83-450-14-3-1-000 - Mississippi New Jobs Credit

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Form 83-450-14-3-1-000 (Rev. 05/14)
Mississippi
Page 1
FEIN
New Jobs Credit
Name:
Facility Location:
County
1 List the number of full time employees subject to Mississippi withholding, at this facility at the end of each month.
_________
_________
_________
_________
_________
_________
_________
_________
_________
________
_________
Month
Base Year
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
1
2
3
4
5
6
7
8
9
10
11
12
2
Total employees
3
Number of months
in operation
4
Average of full-
time employees
5
Less prior year average
6
Average increase in full-time
employees (enter also on page 2,
line 7)

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Parent category: Financial
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