Form M500x - Amended Jobz M500 Year Page 2
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1
2Form M500X instructions
Line 2
Signature
Important news
Enter your purchases of taxable goods and
An authorized representative of the quali-
If you are a qualified business, failure to
services that were primarily used or con-
fied business must sign and date the form.
submit Form M500 will result in removal
sumed in the zone during the year you are
from the JOBZ program. You will also be
amending.
Where to file
subject to repayment of prior JOBZ tax
Do not include:
benefits received.
Mail Form M500X to:
•
purchases of capital equipment where
Minnesota Revenue
you have received, or expect to receive,
This form is used to amend Form M500, re-
Mail Station 9901
a refund of sales or use tax,
porting sales and use tax benefits you received
St. Paul, MN 55146-9901
for participating in a Job Opportunity Build-
•
purchases of motor vehicles or con-
or fax to: 651-556-3102
ing Zone (JOBZ).
struction materials and supplies, or
Use of information
•
product production purchases such as
Qualified business
raw materials and utilities. Materials
All information provided on Form M500 is
You are a qualified business if your place of
and utilities used or consumed in pro-
nonpublic and cannot be disclosed to others
business is located within a JOBZ zone and
ducing products for resale are already
without your consent.
you have signed a Business Subsidy Agree-
exempt.
ment with the zone administrator.
The information will be used to administer
Line 3
the JOBZ program, however, and may be
County and parcel ID number
Enter the purchases made by you, or a con-
shared with other state agencies, to the ex-
tent necessary to administer the JOBZ laws.
tractor or subcontractor, of construction
Enter the county in which the qualified
materials and supplies used to construct
business is located.
Questions or need forms?
improvements to real property used by the
Enter the property’s primary parcel ID or
qualified business in the zone during the
You can find forms and the most cur-
property ID number assigned to it by the
year you are amending.
rent information on our website at
county. You can find the parcel or property
Ask your contractor for his or her purchas-
ID number on the property tax statement.
ing information.
If you have questions, call 651-556-6836
Attach a sheet with additional parcel num-
during business hours. TTY users, call Min-
Line 4
bers if more than one number is located
nesota Relay at 711.
within the zone.
A motor vehicle purchased by a qualified
business is exempt if the motor vehicle is
We’ll provide information in other formats
Email address
principally garaged in the zone and is pri-
upon request.
marily used as part of, or in direct support
If the department has questions regarding
of, the business’s operations carried on in
your Form M500 and you want to receive
the zone.
correspondence electronically, be sure to
provide your email address.
Enter the Vehicle Identification Number
(VIN) and purchase price under line 4. If
Line instructions
more than four vehicles are used, complete
Form M500A, JOBZ Motor Vehicle Purchase
Line 1
Report. Enter additional VINs/amounts of
Check the appropriate box to indicate if you
purchase on the form and send with Form
received any tax benefits for participating in
M500.
a zone during the year you are amending.
Line 5
If you did not receive any tax benefits, ex-
If the qualified business is located in an area
plain your situation, sign and file the form.
with a local sales and use tax, be sure to
Lines 2–5
enter the area on the line provided.
Complete lines 2 through 5 if you (or, in
Visit our website for a listing of local tax
some cases, your contractor) made pur-
areas for the year you are amending.
chases in the year you are amending that
were exempt from state and local sales taxes
for participating in a zone.
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