Form F-1156z - Florida Enterprise Zone Jobs Credit Application For Corporate Income Tax Page 2
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1
2
3
4F-1156Z
R. 09/13
schedule D - 45% Credit
business in Rural Enterprise Zone
A
b
C
D
G
H
I
J
Date Employed
Total
✓ Check
Rural County
Actual
Employee Name, street Address, City, and ZIP
ssN
Total wages
Credit Amount
E
F
months
Name
monthly wages
if leased
(Col. G X Col. H)
(45% X Col. I)
Began
Ended
employee
Total Credit Amount
schedule E - 40% to
business in Enterprise Zone –
44% Credit
Employees in welfare Transition Program
C
D
G
H
A
b
I
J
Date Employed
Credit %
Total
Employee Name, street Address, City, and ZIP
ssN
✓ Check
Actual
Total wages
Credit Amount
E
F
months
(40, 41, 42, 43, or 44)
monthly wages
if leased
(Col. G X Col. H)
(40% to 44%
Began
Ended
See Instructions
employee
X Col. I)
Total Credit Amount
schedule F
Permanent, Full-Time Employees (Enterprise Zone Residents)
Name
SSN
Enterprise zone ID number
Address
City
State, ZIP
subschedule F
Computation of the Allowable Credit
(1)
Enter the number of permanent, full-time employees residing in an enterprise zone. Total must agree with Schedule F.
(1)
(2)
Enter the number of permanent, full-time employees.
(2)
(3)
Divide Line (1) by Line (2) and enter result here. Line (3) must be 20% or more to claim the increased credit
on Schedule B or D.
(3)
PART II
TAX lIAbIlITY lImITATION AND COmPuTATION OF CREDIT (sEE INsTRuCTIONs)
1.
Enter amount of total tax due from Florida Form F-1120, Page 1, Line 11.
1.
2.
Enter the amount of certain other credits against the tax from Florida Form F-1120, Schedule V.
a.
Florida Health Maintenance Organization Credits
2a.
b.
Capital Investment Credit
2b.
Total other credits
2.
3.
Tax liability limitation (Line 1 minus Line 2).
3.
4.
Total credit allowable this year (Schedules A, B, C, D, and E, Column J).
4.
5.
Unused credit carryover from prior year (see instructions).
5.
6.
Total credit available for this year (sum of Line 4 and Line 5).
6.
7.
Enterprise zone jobs credit allowed this year (Enter smaller of Line 3 or Line 6).
7.
Enter this amount on Florida Form F-1120, Schedule V (Credits against the tax).
8.
Unused credit carried forward to next year (Line 6 minus Line 7. If negative amount, enter zero).
8.
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 Business Owner
I certify that this Application contains the information required in subsection 220.181(2), F.S., and meets the criteria
established as eligible to receive an enterprise zone jobs credit against Florida corporate income/franchise tax.
________________________________
______________________________________________________________________
Date
Signature of Enterprise Zone Coordinator
To be entitled to an enterprise zone jobs credit the taxpayer must affirmatively demonstrate to the satisfaction of the
Florida Department of Revenue that the requirements of section 220.181, F.S., have been met.
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