Form Rv-F1308601 - Franchise And Excise Tax - Job Tax Credit Business Plan
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2TENNESSEE DEPARTMENT OF REVENUE
FRANCHISE AND EXCISE TAX
JOB TAX CREDIT BUSINESS PLAN
Taxpayer Name
FEIN/Account Number
Mailing Address
City, State, Zip
1. Capital Investment and Job Creation
Effective Date of Business Plan
Investment Period
From_____________ To______________
Amount of Required Capital Investment
Number of New Jobs
Principal Business Activity
Briefly describe your capital investment and increase in qualified jobs.
2. Qualified Business Enterprise (check all that apply)
Manufacturing
Warehousing and distribution
Processing tangible personal property
Research and development
Computer services
Call center
Headquarters facility
Convention or trade show facility
Promotes high-skill, high-wage jobs in high-technology area,
Aircraft repair service facility
emerging occupations, or skilled manufacturing in an
enhancement county
Tourism related businesses
3. Job Tax Credit (Check the box next to the level of credit for which you are applying)
(a)
Standard Job Tax Credit –Tenn. Code Ann. § 67-4-2109(b)(1)
(b) Additional Annual Job Tax Credit for Enhancement Counties – Tenn. Code Ann. § 67-4-2109(b)(2)(A) or
Adventure Tourism Zone - Tenn. Code Ann. § 67-4-2109(b)(2)(C).
Enhancement County
Adventure Tourism Zone
(c) Additional Annual Job Tax Credit for Higher Level of Investments – Tenn. Code Ann. § 67-4-2109(b)(2)(B)
(i)
$1,000,000,000 investment with at least 500 new industrial wage jobs
(ii)
$500,000,000 investment with at least 500 new industrial wage jobs
(iii)
$250,000,000 investment with at least 250 new industrial wage jobs
(iv)
$100,000,000 investment with at least 100 new industrial wage jobs
(v) Integrated Supplier or Integrated Customer located in the footprint of a taxpayer making $1,000,000,000 investment
with at least 500 new industrial wage jobs
(vi) Headquarters facility with a $10,000,000 investment and at least 100 new headquarters staff employees
The statements made on this business plan are true to the best of my
knowledge and belief. (Must be signed by the taxpayer.)
SIGN HERE:
Control No.
Signature and Date
Title
Phone No.
FOR DEPARTMENT OF REVENUE USE ONLY
RV-F1308601 (Rev. 6-12)
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