TENNESSEE DEPARTMENT OF REVENUE
BANK DEPOSIT SCHEDULE
(FORM FAE 154)
NAME OF CORPORATION
IMPORTANT: ALL ITEMS REQUESTED IN ONE AND TWO ARE IN RELATION TO THE BANK CORPORATE ACCOUNTING
PERIOD THAT ENDED IN 1997.
The information on this schedule enables the Department of Revenue to calculate the portion of the excise tax to be allocated to local
1. A. Are any earnings on bonds or other obligations of the State of Tennessee or its department or agencies included in the net earnings.
(Line 9, Schedule B) subject to the excise tax?
B. If yes, what is the amount included as earnings on such bonds or other obligations of the State of Tennessee? (________________)
Property taxes paid in that accounting period on real property and tangible personal property owned by the bank. (Do not include
tax paid on property leased by the banks, other persons, or businesses.)
A. Real property tax
B. Tangible personal property tax
C. Total tax
Does the financial institution have deposit facilities, office or branches in two or more incorporated municipalities?
If yes, complete the following listing providing the following data for each such office or branch: (a) Name of office or branch if different
from parent bank name; (b) Specific location of office or branch as to city, county and street address; (c) Amount of deposits produced
by the office or branch as of January 1, 1997; (d) The sum total of deposits of the institution as of January 1, 1997; (e) the percentage of
deposits produced by the office or branch in ratio to the total deposits of the bank as of January 1, 1997 (extended to hundredths of a percent).
(Attach a supplemental schedule if needed.)
NOTE -- If there are multiple locations in the same taxing jurisdiction (i.e., same city or same county outside cities), deposit data items
c, d, and e relative to those locations may be grouped.
d. Total Deposits $7,000,000
TN Bank, Br.
TN Bank, Br.