Form Fae 154 - Franchise And Excise Financial Institution Tax Return - Tennessee Department Of Revenue

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TENNESSEE DEPARTMENT OF REVENUE
FRANCHISE AND EXCISE FINANCIAL INSTITUTION TAX RETURN
Beginning:
ACCOUNT NO.
}
If this is an AMENDED RETURN,
FAE
please check the box at right.
Taxable
}
If this is a FINAL RETURN for
Year
Ending:
154
termination or withdrawal, please
check box at right.
The franchise, excise tax return is due on or
before the first day of the fourth month following
the close of the corporate fiscal year.
Make your check payable to the Tennessee
Department of Revenue for the amount shown
on Line 19 and mail to:
Tennessee Department of Revenue
Andrew Jackson State Office Building
500 Deaderick Street
Nashville, TN 37242
For assistance, you may call in-state toll free
Date Tennessee Operations Began
Location of Home Office
1-800-342-1003 or (615) 741-2594.
City
State
ZIP
CHECK APPROPRIATE BLOCK(S):
c.
Member of partnership operating in Tennessee
f.
S Corporation
a.
Tennessee domestic corporation
d.
Member of a Limited Liability Company
b.
Foreign corporation
e.
Member of a consolidated group
DOLLARS
CENTS
SCHEDULE A. COMPUTATION OF FRANCHISE TAX
1. Total Capital stock, surplus and undivided profits (From Schedule F, Line 9) ............................................................. (1) ______________________________
2. Value of real and tangible personal property (From Schedule G, Line 16) .................................................................. (2) ______________________________
3. Franchise tax (25¢ per $100.00 or major fraction thereof on the greater of Lines 1 or 2; minimum $10) .................. (3) ______________________________
4. Less: Estimated payments and credits (From Schedule L, Line 4) .............................................................................. (4) ______________________________
5. Net Franchise tax due (overpayment) (Line 3 less Line 4) ......................................................................................... (5) ______________________________
6. Penalty (5% for each 30-day period of delinquency not to exceed 25%; minimum penalty is $15) ............................ (6) ______________________________
7. Interest (12.50% per annum on taxes unpaid by the due date) ................................................................................... (7) ______________________________
8. Total franchise tax due (overpayment) (Add Lines 5, 6 and 7) ................................................................................... (8) ______________________________
SCHEDULE B. COMPUTATION OF EXCISE TAX
9. Taxable income (From Schedule J, Line 30) .............................................................................................................. (9) ______________________________
10. Excise tax (6% of Line 9) ........................................................................................................................................ (10) ______________________________
11. Add: Recapture of excise tax credit (From Schedule T) ............................................................................................. (11) ______________________________
12. Less: Estimated payments and credits (From Schedule L, Line 8) ............................................................................ (12) ______________________________
13. Net excise tax due (overpayment) (Lines 10 plus Line 11 minus Line 12) ............................................................... (13) ______________________________
14. Penalty (5% for each 30-day period of delinquency not to exceed 25%; minimum penalty is $15) .......................... (14) ______________________________
15. Interest (12.50% per annum on taxes unpaid by the due date) ................................................................................. (15) ______________________________
16. Penalty on estimated excise tax payments ................................................................................................................ (16) ______________________________
17. Interest on estimated excise tax payments ................................................................................................................ (17) ______________________________
18. Total excise tax due (overpayment) (Add Lines 13, 14, 15, 16, and 17) ................................................................... (18) ______________________________
SCHEDULE C. COMPUTATION OF TOTAL TAX DUE OR OVERPAYMENT
19. Total taxes due (overpayment) (Add Lines 8 and 18) ............................................................................................... (19) ______________________________
If overpayment reported on Line 19, complete a and/or b:
a.
Credit to next year’s tax $ _____________________________ b.
Refund $ _______________________
Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge and belief, it is true, correct, and complete.
FOR OFFICE USE ONLY
________________________________________________________________________
________________
____________________________________
Taxpayer's Signature
Date
Title
Date Rec'd ______________________________
________________________________________________________________________
________________
____________________________________
Tax Preparer's Signature
Date
Telephone
Amt Rec'd ______________________________
________________________________________________________________
_____________________________
______________
______________
Preparer's Address
City
State
ZIP
INTERNET (02-98)
RV-R0001501

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