Form F-1157z - Certificate Of Eligibility For Corporate Income Tax
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1
2F-1157Z
Florida Enterprise Zone Jobs Credit
R. 11/99
Certificate of Eligibility for Corporate Income Tax
CORPORATE TAX
Effective July 1, 1996
Attach to
Form F-1120
For Calendar Year ________
or
other taxable year beginning ________________ , _________ , and ending ________________ , _________ .
Name (as shown on your tax return)
Federal Employer Identification Number
Business Location Address
Enterprise Zone Number
-
-
City
State
Zip
Telephone Number
Business is a “small business” as defined by
Mailing Address of Business
s. 288.703(1), F.S.
City
State
Zip
Please complete Schedule D on page 2 of this form before completing Part I.
Part I
Computation of the Allowable Credit:
(1)
Total number of full-time permanent employees residing in an Enterprise Zone.
(1)
________
Total must agree with Schedule D.
(2)
Total number of full-time permanent employees.
(2)
________
(3)
Divide Line (1) by Line (2) and enter here. Line (3) must be 20% or more to claim the
(3)
________
15% credit on Schedule A below unless the employee is a WAGES Program participant,
otherwise use Schedule B for the 10% credit.
(4)
Attach separate schedules in the formats shown below, to identify the employees living in an
Enterprise Zone who are eligible for the 15 percent, 10 percent, or 5 percent credits, respectively.
Note:
The credit may be taken on the first $1,500 of salary per month for each employee. Thus the 5% credit will
not exceed $75 per month and the 15% credit will not exceed $225 per month.
Schedule A - 15% Credit
Enterprise
Employee Name &
Zone
Date Hired
Amount of
For No. of
Credit Amount
Place of Residence
Number
a
b
e
f
g
c Began d Ended
Wages Paid
Months
15%
Line 5 Total
$
$
PLEASE NOTE those employees that are WAGES Program or JTPA classroom training participants and attach a copy of
their certification.
Schedule B - 10% Credit
Enterprise
Zone
Employee Name &
Date Hired
Amount of
For No. of
Credit Amount
Number
a
b
e
f
g
Place of Residence
c Began d Ended
Wages Paid
Months
10%
Line 6 Total
$
$
Schedule C - 5% Credit
Enterprise
Zone
Employee Name &
Date Hired
Amount of
For No. of
Credit Amount
Number
a
b
e
f
g
Place of Residence
c Began d Ended
Wages Paid
Months
5%
Line 7 Total
$
$
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