Application For Florida Enterprise Zone Jobs Credit For Sales Tax Page 2

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Schedule One – Enterprise Zone
DR-15ZC
R. 10/09
For a business to qualify for a credit of 20 percent of total wages paid they:
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• must be physically located in an enterprise zone,
• have created new jobs, and
• have hired new eligible employees.
Enter the information requested below for each qualifying employee. The number of employees may not exceed the total
listed on Page 1, Line 12c.
As an additional incentive, if at least 20 percent of ALL permanent full-time jobs are filled with employees residing in
an enterprise zone, you qualify for a credit of 30 percent. Attach a separate list of ALL permanent full time-employees,
using the format below.
Enterprise Zone
*Employee’s Social
Name, Street Address, City and ZIP of Employee
Date Employed
Monthly Wages
Number in which the
Security Number
Employee Resides
Total Monthly Wages
$
* Note: Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the
(Make additional copies if needed)
administration of Florida’s taxes. SSNs obtained for tax administration purposes are confidential under sections 213.053
and 119.071, Florida Statutes, and not subject to disclosure as public records. Collection of your SSN is authorized under
state and federal law. Visit our Internet site at and select “Privacy Notice” for more information
regarding the state and federal law governing the collection, use, or release of SSNs, including authorized exceptions.

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