CITY OF TACOMA 
                   Finance Department /Tax & License Division 

                                     Job Credit Supplemental Information Sheet 
                       Chapter 6B of the Tacoma Municipal Code, as amended. 

                       A separate sheet must be submitted for each new position added 

Checklist 

The New Position: 
                     Is located at a permanent business inside the city limits of Tacoma   
                     Will pay a “Family Wage” within 12 months of the hire date  
                     Is a full-time position (at least 35 hours per week)  
                     Will be filled for at least four subsequent calendar years after the date of hire 
                     Will have associated records maintained that show the growth in the employment base in Tacoma 

Contract Account # ____________________________       WA State UBI # ________________________ 

Name of Business ___________________________________________________ 

Date new position filled: ______________ 

Position Job Title: ___________________________________________________ 

Hourly Rate Paid: _______ 

Is the position a “Green Job?”    Yes ______ No ______       

Is the position filled with a Tacoma Resident?   Yes ______ No ______ 

Does your company conduct international business service within the empowerment zone or “distressed areas” – 
as defined by the Washington State Department of Revenue? (For more information, call Department of Revenue’s 
Information Center at 1-800-647-7706).     Yes ______ No _______ 

Important to Know 

• The credit cannot be accrued and carried back or forward between years
• The credit is not refundable
                                                                                                       th
• The credit is available for five calendar years; positions created after June 30  qualify for only half of the
  eligible credit the first calendar year

Signature of Applicant:  ________________________________________       Date: ____________________________________ 

                          City of Tacoma • Finance Department / Tax & License Division 
                   cityoftacoma.org/businesslicense   • Phone (253) 591-5252 •   taxinfo@cityoftacoma.org 

TXL 193 (03/05) a