Form F-1156z - Florida Enterprise Zone Jobs Credit Application For Corporate Income Tax
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4F-1156Z
Florida Enterprise Zone Jobs Credit
R. 09/13
Application for Corporate Income Tax
Rule 12C-1.051
Florida Administrative Code
Attach this form, including the required schedules, to your Florida Corporate Income/Franchise Tax Return (Florida Form F-1120).
M M
Y Y
FOR TAX YEAR ENDING
/
Name (as shown on your tax return)
Federal Employer Identification Number (FEIN)
Business location address
Enterprise zone number
City
State
ZIP
Area code and telephone number
—
—
Mailing address of business
Check here if business is a "small business" as defined by
section (s.) 288.703, Florida Statutes (F. S.). See Instructions
City
State
ZIP
for definition.
PART I
DEmONsTRATION OF NEw JObs CREATED
Enter the 12-month period that new jobs were created at a business location within an enterprise zone. See Instructions.
bEGINNING DATE
ENDING DATE
/
/
/
/
(1) Enter the number of permanent, full-time jobs on the ending date.
(1)
(2) Enter the number of permanent, full-time jobs on the beginning date.
(2)
(3) Subtract Line 2 from Line 1. If Line 3 is zero or less, stop here. The business is not eligible for this enterprise zone jobs credit.
(3)
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 ss. 213.053 and 119.071, F. S., 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.
schedules A through F. Complete the schedule(s) that apply to your business. Attach the relevant schedules in the
formats shown below. See instructions for explanations of schedules and qualifications for credits.
schedule A - 20% Credit
business in Enterprise Zone
A
b
C
D
G
H
I
J
Date Employed
Total
Enterprise Zone
Employee Name, street Address, City, and ZIP
ssN
✓ Check
Actual
Total wages
Credit Amount
E
F
months
Number
monthly wages
if leased
(Col. G X Col. H)
(20% X Col. I)
Began
Ended
employee
Total Credit Amount
schedule b - 30% Credit
business in Enterprise Zone
D
A
b
C
G
H
I
J
Date Employed
Total
✓ Check
Enterprise Zone
Actual
Employee Name, street Address, City, and ZIP
ssN
Total wages
Credit Amount
E
F
months
Number
if leased
monthly wages
(Col. G X Col. H)
(30% X Col. I)
Began
Ended
employee
Total Credit Amount
schedule C - 30% Credit
business in Rural Enterprise Zone
D
A
b
C
G
H
J
I
Date Employed
Rural County
Total
Employee Name, street Address, City, and ZIP
ssN
✓ Check
Actual
Total wages
Credit Amount
E
F
months
Name
monthly wages
if leased
(Col. G X Col. H)
(30% X Col. I)
Began
Ended
employee
Total Credit Amount
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