1. JOBZ Tax Benefit Report 2007 M500
Qualified businesses: You must complete and file by October 15, 2008
Use this form to report the sales tax incentives the qualified business received for participating in a Job Opportunity Build-
ing Zone (JOBZ) or an Agricultural Processing Facility Zone. If you received JOBZ income exemptions, exclusions and/or
credits on your tax return, enclose a copy of Schedule JOBZ, which you were required to complete when you filed your an-
nual tax return.
Name of qualified business Minnesota tax ID number FEIN
Business address in the zone County Parcel ID
Print or type
City State Zip code
MN
Name of zone and subzone Date BSA was signed
Business contact’s name (first, last) Title Daytime phone number
E-mail address of qualified business (optional) Minnesota tax return(s) filed:
M1 M3 M8
M2 M4
Zone tax benefits
1 Did you receive any zone tax benefits in 2007?
Yes. Continue with line 2.
No. Explain your situation below, sign at the bottom and file this form by the due date:
Sales tax exemptions
Zone tax benefits
2 Purchases you made in 2007 of tangible personal property (not including capital equipment) and services primarily
used or consumed in the zone that would otherwise have been taxable . . . . . . . . . . . . . . . . . . . . . . 2
3 Purchases you and/or your contractor made in 2007 of construction materials and supplies
used to construct or improve real property used by the qualified business in the zone . . . . . . . . . . . 3
4 Purchases made in 2007 of motor vehicles that are principally garaged
in the zone and primarily used to carry out your zone operations . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Is the qualified business located in an area with Enter
a local sales and use tax (see instructions)? . . . . . . . . . . . . . . . . . . . . 5 No Yes the area:
Income tax exemptions
6 Did the qualified business have operations in the zone in 2007?
Yes. Attach a copy of Schedule JOBZ. If you have not yet filed your 2007 tax return, enter the date
you expect to file your return and Schedule JOBZ: .
No
I declare that this report is correct and complete to the best of my knowledge and belief.
Sign here
Signature of authorized representative of qualified business Date Daytime phone
Do not include Form M500 with your tax return.
By October 15, 2008, mail this form and a copy of your Schedule JOBZ, if any, to: Minnesota Revenue
Mail Station 4112
St. Paul, MN 55146-4112
Rev. 8/08

2. Form M500 instructions
Line 6
Line instructions
What’s new? Check the appropriate box to indicate if you
Line 1
If you are a qualified business, failure to had business operations in the zone during
submit the M500 will result in removal Check the appropriate box to indicate if you the year.
from the JOBZ program. You will also be received any tax benefits for participating in
If you were in operation in 2007, attach to
subject to repayment of prior JOBZ tax a zone during the year.
this form a copy of Schedule JOBZ, which
benefits received.
If you did not receive any tax benefits, file you were required to complete when you
Form M500 and explain your situation. filed your 2007 annual return. If you have
not yet filed your 2007 return, indicate
If you are a qualified business, you must file
Lines 2–5 when you expect to file.
Form M500 with the Department of Revenue
Complete lines 2 through 5 if you (or, in
no later than October 15, 2008. This form is
some cases, your contractor) made purchas-
Signature
used to report the benefits you received for
es in 2007 that were exempt from state and
participating in a Job Opportunity Building An authorized representative of the quali-
local sales taxes for participating in a zone.
Zone (JOBZ) for tax year 2007. All qualified fied business must sign and date the form.
businesses should file Form M500, even if Line 2
there are no tax benefits to report. When to file
Enter your 2007 tax-exempt purchases
of goods and taxable services that were
The filing of Form M500 is in addition to any By October 15, 2008, mail Form M500,
primarily used or consumed in the zone.
reporting requirements with the zone admin- along with a copy of Schedule JOBZ, to:
Do not include purchases of capital equip-
istrator, or the Department of Employment
Minnesota Revenue
ment where you have received, or expect to
and Economic Development.
Mail Station 4112
receive, a refund of sales or use tax.
St. Paul, MN 55146-4112
Qualified business Do not include any purchases of motor ve-
Do not submit Form M500 with your tax
hicles or construction materials and supplies.
You are a qualified business if your place of
return.
business is located within a JOBZ zone and
Line 3
you have signed a Business Subsidy Agree-
Use of information
Enter the 2007 tax-exempt purchases made
ment with the zone administrator.
by you, or a contractor or subcontractor, of All information provided on Form M500 is
A qualified business also includes an construction materials and supplies used nonpublic and cannot be disclosed to others
agricultural processing facility located in a to construct improvements to real property without your consent.
designated agricultural processing facility used by the qualified business in the zone.
zone. The information will be used to administer
Ask your contractor for his or her purchas- the JOBZ program, however, and may be
County and parcel ID number ing information. shared with the Department of Employ-
ment and Economic Development to the
Enter the county in which the qualified Line 4 extent necessary to administer the JOBZ
business is located. A motor vehicle purchased by a qualified
laws.
business is exempt if the motor vehicle is
Enter the property’s parcel ID, or property
principally garaged in the zone and is pri-
ID, number assigned to it by the county. You Questions or need forms?
marily used as part of, or in direct support
can find the parcel or property ID number
You can find forms and the most cur-
of, the business’s operations carried on in
on the property tax statement.
rent information on our website at
the zone.
www.taxes.state.mn.us.
Business Subsidy Agreement Line 5
(BSA) date If you have questions, call 651-556-6836 or
If the qualified business is located in an area
toll-free 1-800-657-3777 during business
with a local sales and use tax (see the list
In the area provided, enter the date the hours. TTY users, call Minnesota Relay at
below), be sure to enter the area on the line
qualified business’s Business Subsidy Agree- 711.
provided.
ment (BSA) was signed.
We’ll provide information in other formats
Local sales and use tax areas:
E-mail address upon request.
Albert Lea Hermantown
If the department has questions regarding Austin Mankato
your Form M500 and you want to receive Baxter New Ulm
correspondence electronically, be sure to Bemidji Owatonna
provide your e-mail address. Brainerd Proctor
Cook County Rochester
Duluth St. Cloud area
Hennepin County Two Harbors
Willmar
For complete information, see Sales and
Use Tax Fact Sheet 164, Local Sales and Use
Taxes.