F-1158Z
R. 08/13
Part III. Unused credit carryover from prior tax years (see instructions).
8.
Enter below the amount of unused credit carryover from each of the five preceding tax years in
order of time (see instructions).
(a) Tax year the unused credit
(b) Amount of the
(c) Amount applied in
(d) Balance of unused credit
was created.
unused credit.
intervening tax years.
available this year.
$
$
$
9.
Total amount of unused credit carryover available this tax year.
$
Part IV. Tax liability and tax year limitation (see instructions).
10.
Enter amount of total tax due from Florida Form F -1120, Page 1, Line 11.
10.
$
11.
Enter the following credits from Florida Form F-1120, Schedule V:
(a) Florida health maintenance organization credit.
(a) $
(b) Capital investment tax credit.
(b) $
(c) Enterprise zone jobs credit.
(c) $
(d) Community contribution tax credit.
(d) $
Total other credits against the tax [add Lines (a) through (d)].
11.
$
12.
Tax liability limitation (subtract Line 11 from Line 10).
12.
$
Part V. Enterprise zone property tax credit for this year (see instructions).
13.
(a) Credit allowable for ad valorem taxes paid this year from Line 7.
(a) $
(Limited to $25,000 or $50,000.)
(b) Unused credit carryover available from prior tax years from Line 9.
(b) $
14. Total amount of credit available this year [total of Lines 13(a) and 13(b)].
14. $
15.
Enterprise zone property tax credit (lesser of Line 14 or Line 12).
Enter amount on Florida Form F-1120, Schedule V.
15.
$
Under penalties of perjury, I declare that I have read this Application, and the facts stated in it are true to the best of my knowledge
and belief.
Date
Signature of Officer
Title
I certify that this Application contains the information required in section 220.182, F.S., and meets the criteria established as eligible to
receive an enterprise zone property tax credit.
Date
Signature of Enterprise Zone Coordinator
Title
An enterprise zone property tax credit is authorized upon an affirmative demonstration by the taxpayer
to the satisfaction of the Florida Department of Revenue that the requirements of section 220.182, F.S.,
have been met.