Form F-1156Z Fillable Florida Enterprise Zone Jobs Credit Certificate of Eligibility for Corporate Income Tax with Instructions R.09/13
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

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 Check Check Check Date Signature of Business Owner Date Signature of Enterprise Zone Coordinator Is a leased employee who is a resident of a Florida enterprise zone or a rural county in Florida and works in a Florida enterprise zone or Florida rural enterprise zone for 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 The date the application is signed by the taxpayer The last day of the tax year immediately preceding the date the application is signed by the taxpayer; or (1) (2) (3) (1) Enter the number of permanent full time employees residing in an enterprise zone Total must agree with Schedule F (1) (1) Enter the number of permanent full time jobs on the ending date (2) Enter the number of permanent full time employees (2) (2) Enter the number of permanent full time jobs on the beginning date (20% X Col I) (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) (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 (30% X Col I) (40 41 42 43 or 44) (40% to 44% (45% X Col I) (Col G X Col H) (Col G X Col H) (Col G X Col H) (Column I) and enter the result here (Credits against the tax) Instructions for Florida Form F 1120 (Use Schedule A) (Use Schedule B) (Use Schedule C) (Use Schedule D) (Use Schedule E) 1 Enter amount of total tax due from Florida Form F 1120 Page 1 Line 11 1 2 Enter the amount of certain other credits against the tax from Florida Form F 1120 Schedule V a Florida Health Maintenance Organization Credits 2a b Capital Investment Credit 2b Total other credits 2 20 percent test 24 consecutive months 288 703 Florida Statutes (F S ) as an independently owned 3 Tax liability limitation (Line 1 minus Line 2) 3 36 hours a week 4 Total credit allowable this year (Schedules A B C D and E Column J) 4 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) 7 Enter this amount on Florida Form F 1120 Schedule V (Credits against the tax) 8 Unused credit carried forward to next year (Line 6 minus Line 7 If negative amount enter zero) 8 a qualified business located in a Florida enterprise zone or A through E Use these formats to create a list of employees Actual Actual Actual Address City State ZIP Administration 8(a) certification against sales tax and operated business employing 200 or fewer permanent Application for Corporate Income Tax applied Enter on Lines 2(a) and 2(b) the appropriate amounts at www myflorida com/dor and select Privacy Notice for attach a list of all other permanent full time employees Attach this form including the required schedules to your Florida Corporate Income/Franchise Tax Return (Florida Form F 1120) available if the business claims its enterprise zone jobs credit averaged at least 36 hours a week based on monthly wages paid to each new employee for up to Began Began Began BEGINNING DATE / / ENDING DATE / / Business in Enterprise Zone 20 Percent Credit Business in Enterprise Zone 30 Percent Credit Business in Enterprise Zone and Employees in Welfare Business in Rural Enterprise Zone 30 Percent Credit Business in Rural Enterprise Zone 45 Percent Credit business location within an enterprise zone Employees in these business will demonstrate that new jobs were created at a calendar years Check here if business is a "small business" as defined by City State ZIP 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 Column A Enter the name and place of residence of each Column B Enter the social security number (SSN) of the 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 Column F Enter the last day of business of the tax year for Column G Enter the amount of wages paid to the new Column H Enter the number of months of wages on which Column I Multiply the Actual Monthly Wages (Column G) by Column J Column J Multiply the applicable credit by Total Wages Complete Part I to determine if the business is eligible to claim computation schedule to determine the credit for each new confidential under ss 213 053 and 119 071 F S and not contact the Auditor General at (850 488 5534 or by e mail at corporate income or franchise tax due after certain credits are county Credit Credit % Credit Amount Credit Amount Credit Amount Date Employed Date Employed Date Employed eligible but must meet all other eligibility criteria employed the employee employee employee employee employee Attach the schedules to your Florida Form F 1156Z Employee Name Street Address City and ZIP Employee Name Street Address City and ZIP Employee Name Street Address City and ZIP employee on which the credit is computed for the taxable year employees are eligible for the credit A new employee must fit employees during the taxable year must be applied against and Employees including leased employees must work an average employees must not have worked for the taxpayer within the employees who have worked at least three months and have employees who live in an enterprise zone or rural enterprise employment with the business Ended Ended Ended ending date of the 12 month period during which the business Enter the 12 month period that new jobs were created at a business location within an enterprise zone See Instructions Enter the beginning date and the ending date of the 12 month Enterprise Zone enterprise zone and new employees must live in a Florida rural enterprise zone jobs credit to the next succeeding taxable year established as eligible to receive an enterprise zone jobs credit against Florida corporate income/franchise tax Exception: Schedule E Column D is used to show the credit exceptions explain the calculations of these other credits Explanation of Credits and Schedules F 1156Z F 1156ZN flaudgen@aud state fl us Florida Administrative Code Florida Department of Revenue that the requirements of section 220 181 F S have been met Florida Enterprise Zone Jobs Credit Florida Form F 1120 (Florida Corporate Income Tax Return) Florida Form F 1156Z contains formats for Schedules Florida rural enterprise zone Qualified leased employees for definition for each applicable job credit Complete the correct credit FOR TAX YEAR ENDING / M M Y Y Form F 1156Z and all applicable schedules to its corporate tax formats shown below See instructions for explanations of schedules and qualifications for credits full time employees and whose total net worth is $5 million or General Instructions I certify that this Application contains the information required in subsection 220 181(2) F S and meets the criteria if leased if leased if leased in a Florida enterprise zone Welfare transition program in a Florida rural enterprise zone in one of the following categories: Instructions for completing Columns A though J Instructions for Completing Florida Form F 1156Z is a leased employee is authorized under state and federal law Visit our Internet site jobs credit for employees must complete and attach Florida jobs must have worked at least three months and average at jobs were created at a business location within an enterprise knowledge and belief least 36 hours a week less or any firm based in this state which has a Small Business liability limitation) is the sum of the credit for the current taxable limited to the corporate income or franchise tax liability for the Line 1 and enter the result on Line 3 If the amount on Line 3 is 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 computed on wages paid to new Line 2 Enter the number of permanent full time jobs on 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 3 The tax liability limitation is the total tax due on Line 1 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 (Total credit available) as the allowable credit used this Line 6 The total credit available (before application of the tax Line 7 Enter the lesser of Line 3 (Tax liability limitation) or Line 8 Enter any unused credit available to be used in the next location within an enterprise zone Employees in these jobs Mailing address of business minus the sum of the credits on Line 2 Monthly Wages Monthly Wages Monthly Wages monthly wages paid to eligible new employees during this Months Months Months months and average at least 36 hours a week months over which credit may be allowable may include three months to be eligible for the enterprise zone jobs credit more information regarding the state and federal law governing more information regarding the state and federal law governing the collection use or release of SSNs including authorized exceptions must have worked at least three months and average at least must meet all other eligibility criteria 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 Name SSN Enterprise zone ID number new employee for whom you are claiming credit The place of new employee SSNs are used by the Florida Department of new employees must live in an enterprise zone and 20 percent Number obtained for tax administration purposes are confidential under ss 213 053 and 119 071 F S and not subject to disclosure as public records of all full time employees must live in an enterprise zone Use of at least 36 hours per week each month for more than six (6) of full time jobs in an enterprise zone and employ qualified new of other credits as listed on Florida Form F 1120 Schedule V on that date enter the last day of the last calendar month you or name of the rural county in which the new employee lives or Schedule D complete Schedule F and its subschedule and Page 1 Line 11 paid during the taxable year the period of up to 24 consecutive PART I Demon stration of New Jobs Created Part I Demonstration of New Jobs Created PART II Tax lia bility limitation and co mputation of credit (Se in str uction s) Part II Tax Liability Limitation and Computation of Part time employees are not eligible for the credit New participants participants do not have to live in an enterprise zone to be percent of all full time employees must live in a rural enterprise percentage taken period during which the business will demonstrate that new Preparation of Schedule F If claiming the credit on Schedule B Preparation of Schedules A through E previous 12 months R 09/13 R 09/13 refer to http:www myflorida com/audgen/pages/flsas/htm or residence must be the employee s home address on the date return for each tax year it claims the credit Revenue as unique identifiers for the administration of Florida s Rule 12C 1 051 Rural County 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) Schedules A through F Complete the schedule(s) that apply to your business Attach the relevant schedules in the section (s ) 288 703 Florida Statutes (F S ) See Instructions See Instructions shown in Column E Single Audit Act under s 215 97 F S For more information Social security numbers (SSNs) are used by the Florida Department of Revenue as unique identifiers for the administration of Florida s taxes SSNs Specific Instructions subject to disclosure as public records Collection of your SSN subject to the auditing and reporting requirements of the Florida Subschedule F Computation of Allowable Credit Subschedule F Computation of the Allowable Credit Subschedule F to decide if the business meets this 20 percent test succeeding taxable year (Line 6 minus Line 7) taxable year taxable year from Part I Schedules A B C D and E taxable year Therefore enter on this line the total tax due from taxable year which are subject to reemployment tax and is taxes SSNs obtained for tax administration purposes are the beginning date of the 12 month period during which the the collection use or release of SSNs including authorized the credit is based Since the credit is computed on wages The credit is calculated on the actual wages paid during the the enterprise zone jobs credit against corporate income tax The enterprise zone jobs credit is state financial assistance the following: the immediately preceding year (Line 5) The State of Florida defines a small business in section (s ) the Total Months (Column H) and enter the result here To be entitled to an enterprise zone jobs credit the taxpayer must affirmatively demonstrate to the satisfaction of the 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 To qualify the business must be located in an enterprise zone to the Florida Corporate Income Tax Code increase the number Total Total Total Total Credit Amount Total Credit Amount Total Credit Amount Total Wages Total Wages Total Wages Transition Program 40 to 44 Percent Credit Under penalties of perjury I declare that I have read this Application and the facts stated in it are true to the best of my When may a business take the credit? This credit is not which you claim credit If the employee is no longer employed Who may qualify for the credit? Corporations that are subject Who must file? Every business claiming the enterprise zone will demonstrate that new jobs were created at a business X Col I) year (Line 4) plus the unused credit (if any) carried forward from You should calculate the credit as follows: zero or less the corporation is not eligible to claim the credit zone and new employees must be welfare transition program zone and new employees must live in a Florida enterprise zone zone new employees must live in a rural county and 20 zone The ending date of the 12 month period must be one of zone These employees must have worked at least three zone Use Subschedule F to decide if the business meets this