Application For Florida Enterprise Zone Jobs Credit For Sales Tax Page 3

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Schedule Two - Rural Enterprise Zone
DR-15ZC
R. 10/09
For a business to qualify for a credit of 30 percent of total wages paid they:
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• must be physically located in a rural enterprise zone,
• have created new jobs, and
• have hired new eligible employees who reside in a rural county.
Enter the information requested below for each qualifying employee.
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 45 percent. Attach a separate list of ALL permanent full-time employees,
using the format below.
*Employee’s Social
Rural County in which
Name, Street Address, City and ZIP of Employee
Date Employed
Monthly Wages
the Employee Resides
Security Number
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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