Form 100A-UR – Mississippi Motion Picture Incentive Application (Upward Revision)

Mississippi Motion Picture Incentive Application (Upward Revision)

Facebook

This field is for validation purposes and should be left unchanged.

Application Phase(Required)

New application

Revision to previously submitted application

Date(Required)

Project Title(Required)

Main Contact

Name(Required)

First Last

Job Title(Required)

Phone(Required)

Email(Required)

Proposed Dates of Work

Start Date for pre-production(Required)

Number pre-production days(Required)

Start Date for Principal Photography(Required)

Number principal photography days(Required)

Wrap Date for Principal Photography(Required)

How many principal photography days are you adding?(Required)

Wrap Date for post-production (if in Mississippi)

Number post-production days

Budget

Total Budget(Required)

Anticipated # of MS crew hires:(Required)

Anticipated # of Non-MS crew hires:(Required)

Total Number of Crew Hires

How many MS resident crew members are you adding?

How many non-MS resident crew are you adding?

Estimate your Mississippi expenditures

Enter numbers in the fields below. The form will calculate your estimated rebate. Please note that all numbers provided are estimates, subject to review & availability.

Local Spend (25% rebate)

[a-1] ORIGINAL Mississippi local spend (non-payroll)

[a-2] NEW Mississippi local spend (non-payroll)

UPWARD REVISION OF:

[e-1] ORIGINALMississippi local spend (non-payroll) Rebate Estimate

25% rebate

[e-2] NEW Mississippi local spend (non-payroll) Rebate Estimate

25% rebate

REBATE REVISION OF:

Non-resident Payroll (25% rebate)

[b-1] ORIGINALMississippi non-resident payroll

[b-2] NEW Mississippi non-resident payroll

UPWARD REVISION OF:

[f-1] ORIGINAL Mississippi non-resident payroll Rebate Estimate

25% rebate

[f-2] NEW Mississippi non-resident payroll Rebate Estimate

25% rebate

REBATE REVISION OF:

Mississippi Resident Payroll (30% rebate)

[c-1] ORIGINAL Mississippi resident payroll

[c-1] NEW Mississippi resident payroll

UPWARD REVISION OF:

[g-1] ORIGINAL Mississippi resident payroll Rebate Estimate

30% rebate

[g-2] NEW Mississippi resident payroll Rebate Estimate

30% rebate

REBATE REVISION OF:

Mississippi Resident Veteran Payroll (35% rebate)

[d-1] ORIGINAL Mississippi resident, veteran payroll

[d-2] NEW Mississippi resident, veteran payroll

UPWARD REVISION OF:

[h-1] ORIGINAL Mississippi resident, veteran payroll Rebate Estimate

35% rebate

[h-2] NEW Mississippi resident, veteran payroll Rebate Estimate

35% rebate

REBATE REVISION OF:

Budget Summary

Total ORIGINAL Mississippi Budget Estimate ([a-1] + [b-1] + [c-1] + [d-1]):

Total NEW Mississippi Budget Estimate ([a-2] + [b-2] + [c-2] + [d-2]):

TOTAL UPWARD REVISION OF:

Estimated Rebate

ORIGINAL Estimated Rebate ([e-1] + [f-1] + [g-1] + [h-1]):

NEW Estimated Rebate ([e-2] + [f-2] + [g-2] + [h-2]):

TOTAL REBATE REVISION:

The following must be submitted to complete application:

1. Tell us the story of why you are requesting an increase in your rebate total in detail (changes in location, added scenes, increases in cast/crew salary, etc.):(Required)

2. Attach your NEW budget with top sheet.(Required)

Max. file size: 256 MB.

I attest this project does not include any material or performance defined in Section 97-29-103 of the Mississippi State Code*.(Required)

Yes

*http://mscode.com/free/statutes/97/029/0130.htm

I attest this production company does not include any company owned, affiliated, or controlled, in whole or in part, by any company or person which is in default on a loan made by the state or a loan guaranteed by the state, or any company or person who has ever declared bankruptcy under which an obligation of the company or person to pay or repay public funds or monies was discharged as a part of such bankruptcy.(Required)

Yes

Your Name(Required)

Project Title(Required)

Signature(Required)

Type your name to sign

Date

Please be advised that making false representations and/or submitting falsified documents to either the Mississippi Development Authority or the Mississippi Department of Revenue with an intent to defraud the state is a crime and may lead to both civil and criminal penalties. Miss. Code Ann. § 97-7-10 states, “Whoever, with intent to defraud the state or any department, agency, office, board, commission, county, municipality or other subdivision of state or local government, knowingly and willfully falsifies, conceals or covers up by trick, scheme or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall, upon conviction, be punished by a fine of not more than Ten Thousand Dollars ($10,000.00) or by imprisonment for not more than five (5) years, or by both such fine and imprisonment.”

Back to Application Home