Form Fae 170 - Franchise, Excise Tax Return Page 2
ADVERTISEMENT
1
2
3
4
5
6
7
8page 2
TAXABLE YEAR
ACCOUNT NO./FEIN/SSN
TAXPAYER NAME
Schedule D -- SCHEDULE OF CREDITS
1. Gross Premiums tax credit (cannot exceed Schedule C, Line 8) .................................................................................... (1) __________________________
2. Tennessee Income Tax (cannot exceed Schedule B, Line 5) .......................................................................................... (2) __________________________
3. Green Energy Tax Credit (attach schedule) ................................................................................................................... (3) __________________________
4. Carbon Charge Credit (attach schedule) ........................................................................................................................ (4) __________________________
5. Brownfield Property Credit (attach schedule) .............................................................................................................. (5) __________________________
6. Headquarters Relocation Expense Credit (attach schedule) .......................................................................................... (6) __________________________
7. Industrial Machinery Credit from Schedule T, Line 11 ................................................................................................. (7) __________________________
8. Jobs Tax Credit from Schedule X, Line 16 ................................................................................................................... (8) __________________________
9. Jobs Tax Credit computed in accordance with Tenn. Code Ann. Section 67-4-2109(b)(2) from Schedule X, Line 21 (9) __________________________
10. Total Credit - Add lines 1 through 9 (Enter here and on Schedule C, Line 9) ............................................................. (10) __________________________
Schedule E -- SCHEDULE OF PAYMENTS
1. Overpayment from previous year if available ............................................................................................................... (1) __________________________
2. First quarterly estimated payment ................................................................................................................................ (2) __________________________
3. Second quarterly estimated payment ............................................................................................................................ (3) __________________________
4. Third quarterly estimated payment ............................................................................................................................... (4) __________________________
5. Fourth quarterly estimated payment ............................................................................................................................. (5) __________________________
6. Extension payment ........................................................................................................................................................ (6) __________________________
7. Total payments - Add lines 1 through 6 (Enter here and on Schedule C, Line 11) ....................................................... (7) __________________________
COMPUTATION OF FRANCHISE TAX
Schedule F1 -- NON-CONSOLIDATED NET WORTH
1. Net Worth (total assets less total liabilities) .................................................................................................................. (1) __________________________
2. Indebtedness to or guaranteed by parent or affiliated corporation (Cannot be a deduction) ......................................... (2) __________________________
3. Total lines 1 and 2 .......................................................................................................................................................... (3) __________________________
4. Ratio (Schedules N, O, P, or R if applicable or 100%) .................................................................................................. (4) __________________________
%
5. Total - Line 3 multiplied by Line 4 (Enter here and on Schedule A, Line 1) .................................................................. (5) __________________________
Schedule F2 -- CONSOLIDATED NET WORTH
1. Consolidated Net Worth (total assets less total liabilities) ............................................................................................ (1) __________________________
2. Ratio (Schedule 170NC or 170SF) ................................................................................................................................. (2) __________________________
%
3. Total - Line 1 multiplied by Line 2 (Enter here and on Schedule A, Line 1) .................................................................. (3) __________________________
NOTE: Schedule F2 is to be completed only if the consolidated net worth election has been made.
Schedule G - DETERMINATION OF REAL AND TANGIBLE PROPERTY
BOOK VALUE OF PROPERTY OWNED - Cost less accumulated depreciation
In Tennessee
1. Land ................................................................................................................................................................................. (1) __________________________
2. Buildings, leaseholds, and improvements ........................................................................................................................ (2) __________________________
3. Machinery, equipment, furniture, and fixtures ................................................................................................................ (3) __________________________
4. Automobiles and trucks ................................................................................................................................................... (4) __________________________
5. Prepaid supplies and other tangible personal property (Attach schedule) ..................................................................... (5) __________________________
6. Share of partnership real and tangible property provided that the partnership does not file a return (Attach schedule) (6) __________________________
7. Inventories and work in progress .................................................................................................................................... (7) __________________________
(
)
a. Deduct exempt inventory in excess of $30 million (Tenn. Code Ann. Section 67-4-2108(a)(6)(B)) ....................... (7a) __________________________
8. a. Deduct value of certified pollution control equipment (Include copy of certificate (Tenn. Code Ann.
Section 67-5-604)) and
(
)
b. equipment used to produce electricity at a Certified Green Energy Production Facility ...................................... (8) __________________________
(
)
9. Deduct exempt required capital investments (Tenn. Code Ann. Section 67-4-2108(a)(6)(G)) ...................................... (9) __________________________
10. SUBTOTAL - Add lines 1 through 7, less Line 7a through Line 9 ............................................................................... (10) __________________________
Rental Value of Property Used but not Owned
(A)
(B)
(C)
In Tennessee
Net Annual Rental Paid for:
x8
11. Real property
__________________
(11) __________________________
x3
12. Machinery & equipment used in manufacturing & processing
__________________
(12) __________________________
x2
13. Furniture, office machinery, and equipment
__________________
(13) __________________________
x1
14. Delivery or mobile equipment
__________________
(14) __________________________
15. TENNESSEE TOTAL - Add lines 10-14 (Enter total here and on Schedule A, Line 2) ............................................ (15) __________________________
INTERNET (12-12)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial