Form Ez-M - Florida Enterprise Zone Program Page 2
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5FORM EZ-M
R. 07/10
IMPROVEMENTS
Attach a copy of each invoice listing sales tax paid for all eligible building materials.
If applicable, attach a sworn statement from the licensed contractor(s) stating all
materials submitted were used on the project and that the sales tax has been paid.
A separate sheet may be used if necessary to account for all building materials.
Building Materials
Sales Price
State Sales Tax Paid (6%)
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
___________________
Total Sales Price of Building Materials: $
Total State Sales Tax: $
x 97%
Amount of Sales Tax Eligible for Refund
$
(subject to limitation in Section III)
If invoices are not available, please complete the following:
Assessed value after rehabilitation: (1)
Assessment Date:
Assessed value before rehabilitation:(2)
Assessment Date:
Attach documentation of assessed values: before and after rehabilitation.
Calculation of Sales Tax Refund: Difference between line (1) and line (2)= __________________ x 40%=
_______________x 6% = _________________ x 97%= ________________ Amount of Sales Tax Refund.
Amount of sales tax refund is subject to maximum amount of sales tax refund
Please see Calculation of Percentage of Employees on next page.
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Parent category: Legal