Application For Florida Enterprise Zone Jobs Credit For Sales Tax Page 4

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Schedule Three – Welfare Transition Program
DR-15ZC
R. 10/09
For a business to qualify for credit on 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 who are Welfare Transition Program participants.
The qualifications for the percentage of monthly wages claimed for credit are as follows:
• $4.00 above the hourly federal minimum wage qualifies for 40 percent.
• $5.00 above the hourly federal minimum wage qualifies for 41 percent.
• $6.00 above the hourly federal minimum wage qualifies for 42 percent.
• $7.00 above the hourly federal minimum wage qualifies for 43 percent.
• $8.00 above the hourly federal minimum wage qualifies for 44 percent.
Actual Monthly
*Employee’s Social
Indicate % Claimed
Name, Street Address, City and ZIP of Employee
Date Employed
Wages
40, 41, 42, 43, or 44
Security Number
Total Monthly Wages
$
* Note: Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the
administration of Florida’s taxes. SSNs obtained for tax administration purposes are confidential under sections 213.053
(Make additional copies if needed)
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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