Form Rv-F1319301 - Tennessee Enhanced Industrial Machinery Credit Business Plan

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TENNESSEE DEPARTMENT OF REVENUE
TENNESSEE ENHANCED INDUSTRIAL MACHINERY CREDIT
BUSINESS PLAN
Applicable Credit (Check the box next to the credit for which you are applying):
Enhanced Industrial Machinery Credit per T.C.A. Section 67-4-2009(4)(I)(iv) [Minimum investment of one hundred million dollars
($100,000,000).]
Enhanced Industrial Machinery Credit per T.C.A. Section 67-4-2109(4)(I)(iii) [Minimum investment of two hundred fifty million
dollars ($250,000,000).]
Enhanced Industrial Machinery Credit per T.C.A. Section 67-4-2009(4)(I)(ii) [Minimum investment of five hundred million dollars
($500,000,000).]
Enhanced Industrial Machinery Credit per T.C.A. Section 67-4-2009(4)(I(i) [Minimum investment of one billion dollars
($1,000,000,000).]
(1) TAXPAYER ________________________________________________________________________________________
(2) TAXPAYER MAILING ADDRESS ________________________________________________________________________
(3) ACCOUNT NUMBER (FEIN) ___________________________________________________________________________
(4) NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM CODE (NAICS) ______________________________________
CAPITAL INVESTMENT
(5) AMOUNT
____________________________________________
(6) BEGIN/END DATE ________________
/ __________________
(7) DESCRIPTION OF PRINCIPAL BUSINESS ACTIVITY: _______________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
(8)
DESCRIPTION OF EXPANSION: ________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
FOR DEPARTMENT USE ONLY
(9) THE STATEMENTS MADE ON THIS BUSINESS PLAN ARE TRUE TO THE BEST OF MY
KNOWLEDGE AND BELIEF. (THIS BUSINESS PLAN MUST BE SIGNED BY THE TAX-
PAYER.)
SIGN
HERE
Department of Revenue Delegate
Taxpayer Signature (Do not print or use stamp.)
Title
Date
Phone No.
Date
RV-F1319301
INTERNET (7-07)

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