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0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80
1 1 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 51
0 0 0 4 4 4 4 0 Missouri Department of Revenue Department Use Only
0 0 0 5 5 5 5 0 Form Manufacturing Job Program Employers (MM/DD/YY)
0 0 0 6 6 6 6 0 MO-MJP Withholding Report
0 0 0 7 7 7 7 0 Reporting Period
0 0 0 8 8 8 8 0 (MM/YY)
0 0 0 9 9 9 9 0
1 1 1 0 0 0 0 1 Missouri Tax I.D. Federal Employer
1 1 1 1 1 1 1 1 Number I.D. Number
1 1 1 2 2 2 2 1
1 1 1 3 3 3 3 1 Name Owner Name
1 1 1 4 4 4 4 1
1 1 1 5 5 5 5 1 City State Zip Code
Business
1 1 1 6 6 6 6 1
1 1 1 7 7 7 7 1
1 1 1 8 8 8 8 1 Form MO-MJP must be submitted using the same frequency that you file Employer’s Return of Income Taxes WithheldForm( MO-941).
Your completed Form MO-941 or proof of filing for electronic filers must accompany this form
1 1 1 9 9 9 9 1 .
2 2 2 0 0 0 0 2 1. Enter the Department of Economic Development (DED) Project or Product Number assigned to each DED approved Manufacturing Jobs Program
2 2 2 1 1 1 1 2 jobs location and the facility address.
2. Enter the amount of withholding tax retained at each facility address for this reporting period. Use the back of this form.
2 2 2 2 2 2 2 2 3. In Box A, enter the sum of the withholding tax retained from all DED approved locations.
2 2 2 3 3 3 3 2 4. In Box B, enter the amount of withholding tax submitted on line one of Form MO-941 or the amount you electronically filed.
2 2 2 4 4 4 4 2 5. In Box C, enter the sum of Boxes A and B. This is the total amount of tax withheld from your employees.
2 2 2 5 5 5 5 2 6. Sign this form, print your name, include a phone number, and e-mail address where you can be reached.
2 2 2 6 6 6 6 2 Important:
2 2 2 7 7 7 7 2 • Form MO-941 should be completed afteryou have determined the amount of withholding tax you are allowed to retain and should only contain
2 2 2 8 8 8 8 2 the amount of withholding tax you are not allowed to retain.
2 2 2 9 9 9 9 2 • Compensation on Form MO-941, Line 2 may be taken only on the amount of withholding tax you are not allowed to retain.
3 3 3 0 0 0 0 3 • Submit Form MO-MJP at the same filing frequency and at the same time that you are required to submit Form MO-941. For example, if you are a
3 3 3 1 1 1 1 3 monthly filer of Form MO-941, you must also complete Form MO-MJP on a monthly basis. Even if you are allowed to retain 100% of your
3 3 3 2 2 2 2 3 withholding tax you must still complete and submit Form MO-941 showing $0.00 tax withheld.
3 3 3 3 3 3 3 3 If you did not retain the correct amount of tax prior to filing your original Form MO-941, you must amend your filing with a new Form MO-941
•
before your Manufacturing Jobs claim will be accepted.
3 3 3 4 4 4 4 3
3 3 3 5 5 5 5 3 DED Project Or Product Number Facility Address Withholding Retained
3 3 3 6 6 6 6 3 $
3 3 3 7 7 7 7 3 DED Project Or Product Number Facility Address Withholding Retained
3 3 3 8 8 8 8 3
3 3 3 9 9 9 9 3 $
DED Project Or Product Number Facility Address Withholding Retained
4 4 4 0 0 0 0 4
4 4 4 1 1 1 1 4 $
4 4 4 2 2 2 2 4 DED Project Or Product Number Facility Address Withholding Retained
4 4 4 3 3 3 3 4 $
4 4 4 4 4 4 4 4 DED Project Or Product Number Facility Address Withholding Retained
4 4 4 5 5 5 5 4
4 4 4 6 6 6 6 4 $
4 4 4 7 7 7 7 4 A.
Withholding Tax Retained
4 4 4 8 8 8 8 4 Total amount retained for tax period ......................................................... $
4 4 4 9 9 9 9 4 B.
4 4 4 0 0 0 0 4 Withholding tax liability from Line 1 of Form MO-941 (or amount electronically filed) ....................... $
5 5 5 1 1 1 1 5
C.
5 5 5 2 2 2 2 5
Total amount of withholding tax for tax period (sum of boxes A and B) ..............................
5 5 5 3 3 3 3 5 $
5 5 5 4 4 4 4 5 Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
5 5 5 5 5 5 5 5 Signature E-mail Address
5 5 5 6 6 6 6 5
5 5 5 7 7 7 7 5
5 5 5 8 8 8 8 5 Signature Printed Name Phone Number Date (MM/DD/YYYY)
5 5 5 9 9 9 9 5 (__ __ __) __ __ __ - __ __ __ __ __ __ /__ __ /__ __ __ __
5 5 5 0 0 0 0 5
6 6 6 1 1 1 1 6
6 6 6 2 2 2 2 6 *14201010001*
6 6 6 3 3 3 3 6 14201010001
6 6 6 4 4 4 4 6
6 6 6 5 5 5 5 6
6 6 666 6 6 6
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