Tax Incentives Application - Puerto Rico Department Of Economic Development And Commerce Page 4
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9Building Value $
□ Owned
□ To be Purchased
□ Other (Government or Municipality)
Annual Rent $
Date
□ Acquisition
□ Lease
Additional Incentives – Has the Applicant received, or applied for, any other incentive from governmental or
L.
municipal agencies? □ Yes □ No
If the response is in the affirmative, please provide details and status of
such incentive(s):
M. Free Trade Zone Classification
Does the Applicant plan to apply, or is under, a Free Trade Zone classification? □ Yes □ No If the response is in
the affirmative, specify the proposed business and employment amount under the Free Trade Zone.
Section III. Information on Applicant’s Existing or Prior Puerto Rico Business(es)
A. Specify whether Applicant is presently performing in Puerto Rico the activities subject of this Application:
□ Yes □ No
If the response is in the affirmative, please provide the following information:
1.
Date of Commencement of Operations ______________________________________________________
2.
Physical address ________________________________________________________________________
3.
Financial information for the last three fiscal years:
Year _____________
Year _____________
Year _____________
Net Income
Income Tax Payments
B. Provide the following information if the Applicant has previously obtained a tax incentives grant:
Is it effective? □ Yes □ No Tax Exemption Grant No. ___________________________________________
Date of Commencement of Operations __________________ Employment Requirement ________________
Employment at Commencement of Operations ________________ Current employment _________________
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C.
Predecessor Exempted Business Information
Specify whether Applicant’s principal shareholders or partners are related to exempted businesses or
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non-exempted businesses in Puerto Rico:
2.
Specify whether Applicant has or has had any proprietary interest in the amount of 25% or more in any
enterprise in Puerto Rico which is, has been tax exempt, or is in the process of acquiring a tax incentives
grant. □ Yes □ No. If the response is in the affirmative, provide an explanation, including name of
business, case number, and products or services covered.
3.
Specify whether Applicant accepts the applicability of Section 16 of the Act with respect to any or all of
the products included in the tax exempt operations referred to above. □ Yes □ No.
If the response is affirmative, submit the following information with respect to the last three fiscal years
ending with the close of the taxable year preceding the filing of this Application.
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If there is more than one predecessor exempted business, include attachment with the corresponding information.
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