Form F-1156Z Florida Enterprise Zone Jobs Credit Certificate of Eligibility for Corporate Income Tax with Instructions R.01/10

Is a leased employee who is a resident of a Florida enterprise zone or a rural county in Florida and works in a Is a resident of a Florida enterprise zone and works in a Florida enterprise zone for a qualified business located Is a resident of a rural county in Florida and works in a Florida rural enterprise zone for a qualified business located (1) Enter the number of permanent full time employees residing in an enterprise zone Total must agree with Schedule F (1) (2) Enter the number of permanent full time employees (2) (3) Divide Line (1) by Line (2) and enter result here Line (3) must be 20% or more to claim the increased credit on Schedule B or D (3) 1 Enter amount of total tax due from Form F 1120 Page 1 Line 11 1 2 Enter the amount of certain other credits against the tax from Form F 1120 Schedule V 213 053 and 119 071 Florida Statutes and not subject to disclosure as public records Collection of your SSN is 24 consecutive months 3 Tax liability limitation (Line 1 minus Line 2) 3 4 Total credit allowable this year (Schedules A B C D and E Column J) 4 40 percent of the monthly wages paid if the hourly rate is $4 above the hourly federal minimum wage rate 41 percent if the hourly rate is $5 above the hourly federal minimum wage rate 42 percent if the hourly rate is $6 above the hourly federal minimum wage rate 43 percent if the hourly rate is $7 above the hourly federal minimum wage rate 44 percent if the hourly rate is $8 above the hourly federal minimum wage rate 5 Unused credit carryover from prior year (see instructions) 5 6 Total credit available for this year (sum of Line 4 and Line 5) 6 7 Enterprise zone jobs credit allowed this year (Enter smaller of Line 3 or Line 6) Enter this amount on Form F 1120 Schedule V (Credits against the tax) 7 8 Unused credit carried forward to next year (Line 6 minus Line 7 If negative amount enter zero) 8 A Employee name street Address City and ZIP b SSN C Check if leased employee D Credit % (40 41 42 43 or 44) See Instructions Date Employed G Actual monthly wages H Total Months I Total wages (Col G X Col H) J Credit Amount (40% to 44% X Col I) A Employee name street Address City and ZIP b SSN C Check if leased employee D Enterprise Zone number Date Employed G Actual monthly wages H Total Months I Total wages (Col G X Col H) J Credit Amount (20% X Col I) A Employee name street Address City and ZIP b SSN C Check if leased employee D Enterprise Zone number Date Employed G Actual monthly wages H Total Months I Total wages (Col G X Col H) J Credit Amount (30% X Col I) A Employee name street Address City and ZIP b SSN C Check if leased employee D Rural County name Date Employed G Actual monthly wages H Total Months I Total wages (Col G X Col H) J Credit Amount (30% X Col I) A Employee name street Address City and ZIP b SSN C Check if leased employee D Rural County name Date Employed G Actual monthly wages H Total Months I Total wages (Col G X Col H) J Credit Amount (45% X Col I) a Florida Health Maintenance Organization Credits 2a a qualified business located in a Florida enterprise zone or Florida rural enterprise zone Qualified leased employees must have worked for an eligible business for an average of at least 36 hours a week for more than six (6) months and Address City State ZIP applied Enter on Lines 2(a) and 2(b) the appropriate amounts of other credits as listed on Form F 1120 Schedule V (Credits against the tax) Instructions for Form F 1120 explain the attach a list of all other permanent full time employees Attach the schedules to your Form F 1156Z Attach this form to the Florida Corporate Income/Franchise and Emergency Excise Tax Return (Form F 1120) authorized under state and federal law Visit our Internet site at www myflorida com/dor and select Privacy Notice for more information regarding the state and federal law governing b Capital Investment Credit 2b Business in Enterprise Zone 20 Percent Credit (Use Schedule A) Business in Enterprise Zone 30 Percent Credit (Use Schedule B) Business in Enterprise Zone and Employees in Welfare Transition Program 40 to 44 Percent Credit (Use Schedule E) Business in Rural Enterprise Zone 30 Percent Credit (Use Schedule C) Business in Rural Enterprise Zone 45 Percent Credit (Use Schedule D) calculations of these other credits calendar years Certificate of Eligibility for Corporate Income Tax Column A Enter the name and place of residence of each Column B Enter the social security number (SSN) of the new employee 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 Column C Place a check mark in this column if the employee Column D If applicable enter the enterprise zone number Column E Enter the date the new employee began employment with the business Column F Enter the last day of business of the tax year for Column G Enter the amount of wages paid to the new employee on which the credit is computed for the taxable year Column H Enter the number of months of wages on which the credit is based Since the credit is computed on wages Column I Multiply the Actual Monthly Wages (Column G) by the Total Months (Column H) and enter the result here Column J Column J Multiply the applicable credit by Total Wages (Column I) and enter the result here Complete Part I to determine if the business is eligible to claim the enterprise zone jobs credit against corporate income tax corporate income or franchise tax due after certain credits are county date of application Employees in these jobs must have worked at least three months and average at least 36 hours a week Date Signature of business owner Date Signature of enterprise zone coordinator E Began F Ended E Began F Ended E Began F Ended eligible but must meet all other eligibility criteria employees who have worked at least three months and have averaged at least 36 hours a week employees who live in an enterprise zone or rural enterprise zone These employees must have worked at least three months and average at least 36 hours a week enterprise zone and new employees must live in a Florida rural enterprise zone jobs credit from taxable years ended after July 1 1995 to the next succeeding taxable year Explanation of Credits and Schedules F 1156Z F 1156ZN F 1156ZN Instructions for Completing Form F 1156Z R 01/10 Florida Administrative Code Effective 06/10 Florida Enterprise Zone Jobs Credit Florida enterprise zone or Florida rural enterprise zone for Form F 1156Z contains formats for Schedules A through E Use these formats to create a list of employees for each applicable job credit Complete the correct credit computation formats shown below See instructions for explanations of schedules and qualifications for credits General Instructions holding jobs included in this calculation must have worked at least three months and have averaged at least 36 hours a week I declare that I have examined this form including accompanying schedules and statements and to the best of my knowledge and belief it is true correct and complete in a Florida enterprise zone Welfare transition program in a Florida rural enterprise zone Instructions for completing Columns A though J Instructions for Completing Form F 1156Z is a leased employee Line 1 Enter the number of permanent full time jobs on the Line 1 Enter the total number of permanent full time Line 1 The amount of credit on Line 1 which was computed on wages paid to new employees during the taxable year Line 2 Enter the number of permanent full time jobs on the date 12 months before the date of application Employees Line 2 Enter the total number of permanent full time Line 2 The amount of credit allowed is limited to the total Line 3 Divide Line 1 by Line 2 and enter the result Line 3 Subtract the amount on Line 2 from the amount on Line 1 and enter the result on Line 3 If the amount on Line 3 is zero or less the corporation is not eligible to claim the credit Line 3 The tax liability limitation is the total tax due on Line 1 minus the sum of the credits on Line 2 Line 4 Enter the total credit claimed based on the actual Line 5 You may carry forward the unused portion of the total Line 6 The total credit available (before application of the tax liability limitation) is the sum of the credit for the current taxable year (Line 4) plus the unused credit (if any) carried forward from the immediately preceding year (Line 5) Line 7 Enter the lesser of Line 3 (Tax liability limitation) or Line 6 (Total credit available) as the allowable credit used this Line 8 Enter any unused credit available to be used in the next meet all other credit eligibility criteria monthly wages paid to eligible new employees during this taxable year from Part I Schedules A B C D and E months over which credit may be allowable may include three must be applied against and limited to the corporate income or franchise tax liability for the taxable year Therefore enter on Name SSN Enterprise zone ID number new employee for whom you are claiming credit The place of residence must be the employee s home address on the date shown in Column E of full time jobs in an enterprise zone and employ qualified new employees are eligible for the credit A new employee must fit in one of the following categories: on that date enter the last day of the last calendar month you employed the employee or name of the rural county in which the new employee lives Exception: Schedule E Column D is used to show the credit percentage taken paid during the taxable year the period of up to 24 consecutive Part I Demonstration of New Jobs Created Part II Tax Liability Limitation and Computation of Credit PART II TAx lIAbIlITy lImITATIon AnD ComPuTATIon oF CREDIT (sEE InsTRuCTIons) Part time employees are not eligible for the credit New employees must not have worked for the taxpayer within the participants participants do not have to live in an enterprise zone to be Preparation of Schedule F If claiming the credit on Schedule B or Schedule D complete Schedule F and its subschedule and Preparation of Schedules A through E previous 12 months Publication (TIP) 05ADM 01 provides more details You can find this TIP on the Department s Internet site R 01/10 R 01/10 records Collection of your SSN is authorized under state and federal law Visit our Internet site at www myflorida com/dor and select Privacy Notice for more information regarding the state and federal law governing the collection use or release of SSNs including authorized exceptions Rule 12C 1 051 Rule 12C 1 051 Florida Administrative Code Effective 06/10 schedule A 20% Credit business in Enterprise Zone schedule b 30% Credit business in Enterprise Zone schedule C 30% Credit business in Rural Enterprise Zone schedule D 45% Credit business in Rural Enterprise Zone schedule E 40% to business in Enterprise Zone 44% Credit Employees in welfare Transition Program schedule F Permanent Full Time Employees (Enterprise Zone Residents) schedule to determine the credit for each new employee schedules A through F Complete the schedule(s) that apply to your business Attach the relevant schedules in the 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 and 119 071 Florida Statutes and not subject to disclosure as public Specific Instructions subject to the auditing and reporting requirements of the Florida Single Audit Act under s 215 97 F S Tax Information Subschedule F Computation of Allowable Credit subschedule F Computation of the Allowable Credit succeeding taxable year (Line 6 minus Line 7) taxable year the collection use or release of SSNs including authorized exceptions The credit is calculated on the actual wages paid during the taxable year which are subject to unemployment tax and is based on monthly wages paid to each new employee for up to The enterprise zone jobs credit is state financial assistance The State of Florida defines a small business in section (s ) 288 703(1) Florida Statutes (F S ) as an independently owned and operated business employing 200 or fewer permanent full time employees and whose total net worth is $5 million or less or any firm based in this state which has a Small Business Administration 8(a) certification this line the total tax due from Form F 1120 (Florida Corporate Income Tax Return) Page 1 Line 11 To qualify the business must be located in a Florida enterprise To qualify the business must be located in a Florida rural To qualify the business must be located in a rural enterprise zone new employees must live in a rural county and 20 percent of all full time employees must live in a rural enterprise zone Use Subschedule F to decide if the business meets this 20 percent test To qualify the business must be located in an enterprise zone new employees must live in an enterprise zone and 20 percent of all full time employees must live in an enterprise zone Use Subschedule F to decide if the business meets this 20 percent test Total Credit Amount Total Credit Amount Total Credit Amount Total other credits 2 Under penalties of perjury I declare that I have examined this form including accompanying schedules and statements and to the best of my knowledge and belief it is true correct and complete When may a business take the credit? This credit is not available if the business claims its enterprise zone jobs credit against sales tax which you claim credit If the employee is no longer employed Who may qualify for the credit? Corporations that are subject to the Florida Corporate Income Tax Code increase the number Who must file? Every business claiming the enterprise zone jobs credit for employees must complete and attach Form F 1156Z and all applicable schedules to its corporate tax return for each tax year it claims the credit You should calculate the credit as follows: zone and new employees must be welfare transition program zone and new employees must live in a Florida enterprise zone