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                    TENNESSEE DEPARTMENT OF REVENUE                                                                                                                               RV-R0012001 (12/22)
                    Franchise and Excise Financial Institution and 
                    Captive Real Estate Investment Trust Tax Return

                      Tax Year Beginning                     Account Number                                                                  Check all that apply:
       FAE
       174                                                                                                                                   a)  Amended return
                      Tax Year Ending                        FEIN
                                                                                                                                             b)  Final return
                      NAICS                                  SOS Control Number
                                                                                                                                             c)  Captive REIT not owned by a bank, bank 
                                                                                                                                             holding company or public REIT
                                                                                                                                             d)  Taxpayer has made an election to 
      Legal Name                                                                                                                             calculate net worth per the provisions of 
                                                                                                                                             Tenn. Code Ann.  §67-4-2103(g)-(i)
                                                                                                                                             e)  Taxpayer has filed the prescribed form 
                                                                                                                                             to revoke its election made per Tenn. 
      Mailing Address                                                                                                                        Code Ann.  §67-4-2103(g)-(i)
                                                                                                                                             f)  Annualized income installment method 
                                                                                                                                             for quarterly estimates election
      City                                                                                                                                   g)  Taxpayer has filed for federal extension

      State                                                       ZIP Code
                                                                                                                                             Date Tennessee operations began (see instructions)

    Schedule A ‑ Computation of Franchise Tax                                                                                                                         Round to the nearest dollar
  1.  Total net worth from Schedule F1, Line 3  or Schedule F2, Line 3 and Schedule F .................................................. (1)   ______________________________________
  2.  Total real and tangible personal property from Schedule G, Line 15 ........................................................................ (2)   ______________________________________
  3.  Franchise tax (25¢ per $100 or major fraction thereof on the greater of Lines 1 or 2; minimum $100)                                          .............(3)   ______________________________________
      Schedule B ‑ Computation of Excise Tax
  4.  Income subject to excise tax from Schedule J, Line 41 ................................................................................................ (4)   ______________________________________
  5.  Excise tax (6.5% of Line 4)  .............................................................................................................................................. (5)   ______________________________________
  6.  Recapture of tax credit (from Schedule T, Line 13) ...................................................................................................... (6)   ______________________________________
  7.  Total excise tax due (add Lines 5 and 6)  ....................................................................................................................... (7)   ______________________________________
      Schedule C ‑ Computation of Total Tax Due or Overpayment
  8.  Total franchise and excise taxes (add Lines 3 and 7) .............................................................                                     (8)  ______________________________________
  9.  Total credit from Schedule D, Line 8 (cannot exceed Line 8) ................................................                                           (9)  ______________________________________
  10.  Net tax (subtract Line 9 from Line 8; if Line 9 exceeds Line 8, enter zero here) ................                                                     (10)  ______________________________________
  11.  Total payments from Schedule E, Line 7 .................................................................................                              (11)  ______________________________________
  12.  Penalty (see instructions)  .........................................................................................................                 (12)  ______________________________________
  13.  Interest (see instructions)  .............................................................................................................................................(13)   ______________________________________
  14.  Penalty on estimated franchise and excise tax payments  .......................................................................................(14)   ______________________________________
  15.  Interest on estimated franchise and excise tax payments  ......................................................................................(15)   ______________________________________
  16.  Total amount due (overpaid) (add Lines 10, 12, 13, 14, and 15, subtract Line 11)  ................................................(16)   ______________________________________
        If overpayment reported on Line 16, complete A and/or B below:
          A.  Credit to next year’s tax $ ______________________________________  B.  Refund $ _______________________________

                                                             Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge 
    Power of Attorney - Check YES if this taxpayer's         and belief, it is true, correct, and complete.
    signature certifies that this tax preparer has 
    the authority to execute this form on behalf             Taxpayer's Signature                                                                  Date               Title
    of the taxpayer and is authorized to receive 
    and inspect confidential tax information                 Tax Preparer's Signature                                                        Preparer's PTIN          Date        Telephone
    and to perform any and all acts relating to              
    respective tax matters.                                  Preparer's Address                                                              City                          State         ZIP Code
                 YES                                         Preparer's Email Address

                                                                                                                                             FOR OFFICE USE ONLY




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 Taxable Year                     Taxpayer Name                                                         Account No./FEIN

Schedule D ‑ Schedule of Credits
   1.  Gross Premiums Tax Credit (cannot exceed Schedule C, Line 8) ................................................................(1)   _____________________________
   2.  Community Investment Credit ........................................................................................................................ (2)   _____________________________
   3.  Tennessee Rural Opportunity Fund Credit ....................................................................................................(3)   _____________________________
   4.  Tennessee Small Business Opportunity Fund Credit  ...................................................................................(4)   _____________________________
   5.  Industrial Machinery and Research and Development Tax Credit from Schedule T, Line 11 ..................(5)   _____________________________
   6.  Job Tax Credit from Schedule X, Line 46 .........................................................................................................(6)   _____________________________
   7.  Additional Annual Job Tax Credit from Schedule X, Line 38 .........................................................................(7)   _____________________________
   8.  Total credit (add Lines 1 through 7; enter here and on Schedule C, Line 9) ..............................................(8)   _____________________________

Schedule E ‑ Schedule of Required Quarterly Installments and Payments
                                                                                     Required Quarterly 
                                                                                          Installments                                   Amount Paid
   1.  Overpayment from previous year, if available ...........................................................................................  (1) _____________________________
   2.  First quarterly estimate .............................................................................. (2a)   ________________________  (2b) ____________________________
   3.  Second quarterly estimate ......................................................................... (3a)   ________________________  (3b) ____________________________
   4.  Third quarterly estimate ............................................................................. (4a)   ________________________  (4b) ____________________________
   5.  Fourth quarterly estimate .......................................................................... (5a)   ________________________  (5b) ____________________________
   6.  Extension payment.........................................................................................................................................  (6) _____________________________
   7.  Total payments (add Lines 1 through 6; enter here and on Schedule C, Line 11) .................................  (7) _____________________________

Computation of Franchise Tax
Schedules F and SF are used by taxpayers that have not made the consolidated net worth election and by members that were part of a 
group that made the election, but exited that group during the taxable year due to a sale, merger, or like event.   The ratios computed on 
Schedule SF are used to compute the franchise tax base reported on Schedule F.
Schedule F ‑ Non‑Consolidated Net Worth 
                                                                                                     (c) Everywhere (d)Ratio from  Tennessee
  Parent or Unitary Group Member Name             FEIN     (a) Net Worth             (b)Indebtedness   Total                             Schedule SF                                     Total

 Total (Enter here and on Schedule A, Line 1) ...........................................................................................................................................
Schedule SF ‑ Franchise Tax Apportionment ‑ Standard

                                                                                     Tennessee         Everywhere
      Parent or Unitary Group Member Name               FEIN                         Receipts          Receipts                                                                          Ratio

Schedule F1 ‑ Captive Real Estate Investment Trust Net Worth
  1.  Net worth (total assets less total liabilities) ....................................................................................................(1)   ______________________________
  2.  Franchise tax apportionment ratio (Schedule N if applicable or 100%) .....................................................(2)   ______________________________%
  3.  Total (multiply Line 1 by Line 2; enter here and on Schedule A, Line 1) .....................................................(3)   ______________________________

Schedule F2 ‑ Consolidated Net Worth
  1.  Consolidated net worth (total assets less total liabilities of the affiliated group) .....................................(1)   ______________________________
  2.  Franchise tax apportionment ratio (Schedule 174SC or 174NC) .................................................................(2)   ______________________________%
  3.  Total (multiply Line 1 by Line 2; enter here and on Schedule A, Line 1) .....................................................(3)   ______________________________



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 Taxable Year                       Taxpayer Name                                                                                               Account No./FEIN

 Schedule G ‑ Determination of Real and Tangible Property
         Book Value of Property Owned ‑ Cost less accumulated depreciation                                                                      In Tennessee
 1.  Land .................................................................................................................................................................... (1)   _____________________________
  2.  Buildings, leaseholds, and improvements .....................................................................................................(2)   _____________________________  
  3.  Machinery, equipment, furniture, and fixtures .............................................................................................(3)   _____________________________  
  4.  Automobiles and trucks .................................................................................................................................... (4)   _____________________________  
  5.  Prepaid supplies and other tangible personal property  .............................................................................(5)   _____________________________  
  6.  Ownership share of real and tangible property of a partnership that does not file a return  ................(6)   _____________________________  
  7.  a.  Inventories and work in progress.............................................................................................................(7a)   _____________________________  
   b.  Exempt finished goods inventory in excess of $30 million  ..................................................................(7b)   _____________________________
  8.  Certified pollution control equipment (include copy of certificate)  ...........................................................(8)   _____________________________  
  9.  Exempt required capital investments  ............................................................................................................(9)   _____________________________
 10.  Subtotal (add Lines 1 through 7a, subtract Lines 7b through 9) ...............................................................(10)   _____________________________
         Rental Value Of Property Used But Not Owned
                                                                           In Tennessee
         Net Annual Rental Paid for:
 11.  Real property ..............................................................................................     _____________________ x8 (11)  _____________________________  
 12.  Machinery and equipment used in manufacturing and processing ....     _____________________                                            x3 (12)  _____________________________  
 13.  Furniture, office machinery, and equipment ..........................................     _____________________                        x2 (13)  _____________________________  
 14.  Delivery or mobile equipment ..................................................................     _____________________              x1 (14)  _____________________________
15.   Tennessee total (add Lines 10 through 14; enter here and on Schedule A, Line 2) ................................(15)   _____________________________   
 
Schedule H ‑ Gross Receipts
  1.  Gross receipts or sales per federal income tax return ................................................................................ (1)   _____________________________



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 Taxable Year            Taxpayer Name                                                                 Account No./FEIN

Computation of Excise Tax
Schedule J1 ‑ Computation of Net Earnings for Entities Treated as Partnerships
             Additions:
  1.  Ordinary income or loss (federal Form 1065, Line 22) .......................................................................................(1)  ___________________________
  2.  Income items specifically allocated to partners, including guaranteed payments to partners  ...................(2)  ___________________________
  3.  Any net loss or expense distributed to a publicly traded REIT  .........................................................................(3)  ___________________________
  4.  Total additions (add Lines 1 through 3) ................................................................................................................(4)  ___________________________
 Deductions:
  5.  Expense items specifically allocated to partners not deducted elsewhere .....................................................(5)  ___________________________
  6.  Amount subject to self-employment taxes distributable or paid to each partner or member net of 
   any pass-through expense deducted elsewhere on this return (if negative, enter zero) (include on 
   Schedule K, Line 3) ..................................................................................................................................................(6)  ___________________________
  7.  Amount of contribution to qualified pension or benefit plans of any partner or member, including 
          all IRC 401 plans  (include on Schedule K, Line 3) ...............................................................................................(7)  ___________________________
  8.  Any net gain or income distributed to a publicly traded REIT   .........................................................................(8)  ___________________________
  9.  Any loss on the sale of an asset sold within 12 months after the date of distribution ..................................(9)  ___________________________
10.   Total deductions (add Lines 5 through 9) ...........................................................................................................(10)  ___________________________
 11.  Total (subtract Line 10 from Line 4; enter here and on Schedule J, Line 1) ...................................................(11)  ___________________________
Schedule J2 ‑ Computation of Net Earnings for a Single Member LLC Filing as an Individual
 Additions:
  1.  Business Income from federal Form 1040, Schedule C ......................................................................................(1)  ___________________________
  2.  Business Income from federal Form 1040, Schedule D .....................................................................................(2)  ___________________________
  3.  Business Income from federal Form 1040, Schedule E ......................................................................................(3)  ___________________________
  4.  Business Income from federal Form 1040, Schedule F ......................................................................................(4)  ___________________________
  5.  Business Income from federal Form 4797 ...........................................................................................................(5)  ___________________________
  6.  Other: federal Form __________ , Schedule ____________    ....................................................................................(6)  ___________________________
  7.  Total additions (add Lines 1 through 6) ................................................................................................................(7)  ___________________________
 Deductions:
  8.  Amount subject to self-employment taxes distributable or paid to the single member (if negative, enter
   zero; include on Schedule K, Line 3) ......................................................................................................................(8)  ___________________________
  9.  Total (subtract Line 8 from Line 7; enter here and on Schedule J, Line 1)........................................................(9)  ___________________________
Schedule J3 ‑ Computation of Net Earnings for Entities Treated as Subchapter S Corporations
 Additions:
  1.  Ordinary income or loss (federal Form 1120S, Line 21) .....................................................................................(1)  ___________________________
  2.  Income items to extent includable in federal income were it not for "S" status election  .............................(2)  ___________________________
  3.  Total additions (add Lines 1 and 2) .......................................................................................................................(3)  ___________________________
 Deductions:
  4.  Expense items to extent includable in federal expenses were it not for "S" status election  ........................(4)  ___________________________
  5.   Any loss on the sale of an asset sold within 12 months after the date of distribution ..................................(5)  ___________________________
  6.  Total deductions (add Lines 4 and 5) ....................................................................................................................(6)  ___________________________
  7.  Total (subtract Line 6 from Line 3; enter here and on Schedule J, Line 1)    .....................................................(7)  ___________________________

Schedule J4 ‑ Computation of Net Earnings for Entities Treated as Corporations and Other Entities
 Additions
 1.  Taxable income or loss before net operating loss deduction and special deductions (federal 
          Form 1120, Line 28) and ordinary income or loss (federal Form 1065, Line 22) .............................................(1)  ___________________________
  2.  a. REIT taxable income before net operating loss deduction and special deductions (federal Form 
     1120-REIT, Line 20) ..............................................................................................(2a)  ________________________
   b. REIT deduction for dividends paid (federal Form 1120-REIT, Line 21b) ..... (2b)  ________________________
   c. REIT taxable income after dividends paid deduction (subtract Line 2b from Line 2a) .............................(2c)  ___________________________
  3.  Unrelated business taxable income (federal Form 990-T, Line 5) .....................................................................(3)  ___________________________
  4.  Other: federal Form __________  ..............................................................................................................................(4)  ___________________________
  5.  Contribution carryover from prior period(s) ........................................................................................................(5)  ___________________________
  6.  Capital gains offset by capital loss carryover or carryback ................................................................................(6)  ___________________________
  7.  Total additions (add Lines 1 through 6)  ...............................................................................................................(7)  ___________________________
   Deductions:
  8.  Contributions in excess of amount allowed by federal government ................................................................(8)  ___________________________
  9.  Portion of current year’s capital loss not included in federal taxable income ................................................(9)  ___________________________  
 10.  Total deductions (add Lines 8 and 9) ..................................................................................................................(10)  ___________________________  
 11.  Total (subtract Line 10 from Line 7; enter here and on Schedule J, Line 1) ...................................................(11)  ___________________________



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 Taxable Year                  Taxpayer Name                                                                  Account No./FEIN

Schedule J ‑ Computation of Net Earnings Subject to Excise Tax
  1.  Adjusted federal income or loss (enter amount from Schedule J1, J2, J3, or J4) ................................................(1)  ___________________________
  2.  Expenses from transactions between members of the group ............................................................................(2)  ___________________________
  3.  Dividends and receipts from transactions between members of the group ....................................................(3)  ___________________________
  4.  Net income for group (add Lines 1 and 2, subtract Line 3) ..................................................................................(4)  ___________________________
   Additions:
  5.  Intangible expenses paid, accrued or incurred to an affiliated business entity or entities deducted for
   federal income tax purposes ...................................................................................................................................(5)  ___________________________
  6.  Any depreciation under the provisions of IRC Section 168 not permitted for excise tax purposes due to
   Tennessee permanently decoupling from federal bonus depreciation  ............................................................(6)  ___________________________
  7.  Gain on the sale of an asset sold within 12 months after the date of distribution to a nontaxable entity ...(7)  ___________________________
  8.  Tennessee excise tax expense (to the extent reported for federal purposes) ..................................................(8)  ___________________________
  9.  Gross premiums tax deducted in determining federal income and used as an excise tax credit ..................(9)  ___________________________
 10.  Interest income on obligations of states and their political subdivisions, less allowable amortization ......(10)  ___________________________
 11.  Depletion not based on actual recovery of cost ..................................................................................................(11)  ___________________________
 12.  Excess fair market value over book value of property donated........................................................................(12)  ___________________________
 13.  Excess rent to/from an affiliate.  A taxpayer paying excess rent enters a positive amount on this line.  
   A taxpayer receiving excess rent, to the extent added back to net earnings by its affiliate, enters a 
   negative amount on this line. ................................................................................................................................(13)  ___________________________
 14.  Captive REIT Dividends Paid Deduction taken in computing federal income (does not apply to a captive 
   REIT that is owned, directly or indirectly, by a bank, bank holding company or a public REIT) .....................(14)  ___________________________
 15.  Net loss or expense received from a pass-through entity subject to the excise tax (attach schedule) .......(15)  ___________________________  
 16.  An amount equal to five percent of IRC Section 951A global intangible low-taxed income 
   deducted on Line 31 ...............................................................................................................................................(16)  ___________________________
17.   Business interest expense deducted in arriving at the amount reported on Sch. J, Line 1. Only 
   complete if federal Form 8990 was filed. See instructions ................................................................................(17)  ___________________________
18.   Research and experimental expenditures deducted under IRC Section 174 in arriving at the amount
         reported on Sch. J, Line 1.......................................................................................................................................(18) ___________________________
19.   Total additions (add Lines 5 through 18) ..............................................................................................................(19)  ___________________________
 Deductions:
 20.  Any depreciation under the provisions of IRC Section 168 permitted for excise tax purposes due to 
   Tennessee permanently decoupling from federal bonus depreciation ...........................................................(20)  ___________________________
 21.  Any excess gain (or loss) from the basis adjustment resulting from Tennessee permanently decoupling 
   from federal bonus depreciation ..........................................................................................................................(21)  ___________________________
 22.  Dividends received from corporations, at least 80% owned  ............................................................................(22)  ___________________________
 23.  Donations to qualified public school support groups and nonprofit organizations  .....................................(23)  ___________________________
 24.  Any expense, other than income taxes, not deducted in determining federal taxable income for which 
   a credit against the federal income tax is allowable ...........................................................................................(24)  ___________________________
 25.  Adjustments related to the safe harbor lease election ......................................................................................(25)  ___________________________
 26.  Nonbusiness earnings (from Schedule M, Line 8) ...............................................................................................(26)  ___________________________
 27.  Intangible expenses paid, accrued or incurred to an affiliated entity or entities (from Form IE, Line 4)
   Attach From IE - Intangible Expense Disclosure ..................................................................................................(27)  ___________________________
28.   Intangible income from an affiliated business entity or entities if the corresponding intangible 
   expenses have not been deducted by the affiliate(s) under Tenn. Code Ann. § 67-4-2006(b)(2)(N) ............(28)  ___________________________
 29.  Bad debts not deducted but allowed by IRC Section 585 or 593 as it existed on December 31, 1986 ........(29)  ___________________________
 30.  Net gain or income received from a pass-through entity subject to the excise tax (attach schedule).........(30)  ___________________________
 31.  IRC Section 951A global intangible low-taxed income ........................................................................................(31)  ___________________________
 32.  Deductible Grants from governmental units .......................................................................................................(32)  ___________________________
33.   a. Business interest expense currently deductible. See instructions. ............................................................ (33a)  ___________________________
   b. Business interest expense carryforward available for future tax years......(33b) ___________________________                       
34.  Research and experimental expenditures currently deductible.  See instructions.........................................(34)
35.   Total deductions (add Lines 20 through 34, excluding 33b) ..............................................................................(35)  ___________________________
 Computation of Taxable Income:
 36.  Total business income (loss) (add Lines 4 and 19, subtract Line 35; if loss, complete Schedule K) ..............(36)  ___________________________
 37.  Excise tax apportionment ratio (Schedule SE or N, if applicable, or 100%) .....................................................(37)  ___________________________%
 38.  Apportioned business income (loss) (multiply Line 36 by Line 37) ...................................................................(38)  ___________________________
 39.  Nonbusiness earnings directly allocated to Tennessee (from Schedule M, Line 9) ........................................(39)  ___________________________
 40.  Loss carryover from prior years (from Schedule U) ............................................................................................(40)  ___________________________
 41.  Subject to excise tax (add Lines 38 and 39, subtract Line 40; enter here and on Schedule B, Line 4) .........(41)  ___________________________



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 Taxable Year                  Taxpayer Name                                          Account No./FEIN

Schedule K ‑ Determination Of Loss Carryover Available

  1.  Net loss from Schedule J, Line 36 ............................................................................................................................(1)  ___________________________
      Additions:
  2.  Amounts reported on Schedule J, Lines 22 and 26  ..............................................................................................(2)  ___________________________
  3.  Amounts reported on Schedule J1, Lines 6 and 7, or Schedule J2, Line 8 ..........................................................(3)  ___________________________
  4.  Reduced loss (add Lines 1 through 3; if net amount is positive, enter zero) .....................................................(4)  ___________________________
  5.  Excise tax apportionment ratio (Schedule SE or N, if applicable, or 100%) .......................................................(5)  ___________________________%
  6.  Current year loss carryover available (multiply Line 4 by Line 5) ........................................................................(6)  ___________________________

Schedule SE ‑ Financial Institution Apportionment Schedule for Excise Tax Purposes

                                                                                      In Tennessee                                          Everywhere
  1. Receipts from leases of real property .............................................................................. (1)   _________________________________________________
  2. Interest income and other receipts from loans or installment sales secured by  
       real or tangible personal property .................................................................................... (2)   _________________________________________________
  3. Interest income and other receipts from consumer loans which are not secured .... (3)   _________________________________________________
  4. Interest income and receipts from commercial and installment loans which are 
       not secured by real or tangible property ......................................................................... (4)   _________________________________________________
  5. Receipts and fee income from letters of credit, acceptance of drafts, and other 
       devices for guaranteeing loans or credit .......................................................................... (5)   _________________________________________________
  6. Interest income, merchant discount, and other receipts including service charges 
       from credit card and travel and entertainment credit cards, and credit  
      cardholders’ fees .................................................................................................................. (6)   _________________________________________________
  7. Sales of an intangible or tangible asset ............................................................................ (7)   _________________________________________________
  8. Receipts from the sale of a security by a dealer in such security ................................. (8)   _________________________________________________
  9. Receipts from fiduciary and other services...................................................................... (9)   _________________________________________________
 10. Receipts from the issuance of travelers checks, money orders and U.S.  
       savings bonds ....................................................................................................................(10)   _________________________________________________
 11. Interest income and other receipts from participation loans .....................................(11)   _________________________________________________
 12. Other business receipts ....................................................................................................(12)   _________________________________________________
 13. Total receipts (add Lines 1 through 12) ..........................................................................(13)   _________________________________________________
 14. Apportionment ratio (divide total Tennessee receipts by total everywhere 
                                                                                                                                                      %
   receipts; enter here and on Schedule J, Line 37). ............................................................................................ .......(14)   _________________________



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   Taxable  Year                         Taxpayer  Name                                                                                          Account  No./FEIN

  Schedule N ‑ Apportionment ‑ Captive  REIT

                       Property                                            In Tennessee (Combined)                                    Total Everywhere (Combined)

    Use original cost of assets                                         a. Beginning of Taxable Year b. End of Taxable Year        a. Beginning of Taxable Year b. End of Taxable Year

  1.  Land, buildings, leaseholds, and 
      improvements  ..........................................    _______________________________________________________________________________________________  
  2.  Machinery, equipment, furniture, and 
      fixtures .......................................................   ____________________________________________________________________________________________________________ 
  3.  Automobiles and trucks ...........................    _______________________________________________________________________________________________  
  4.  Inventories and work in progress  ..........    _______________________________________________________________________________________________
  5.  Prepaid supplies and other property .....    _______________________________________________________________________________________________  
  6.  Ownership share of real and tangible
      property of a partnership that does not
      file a return  ...............................................    _______________________________________________________________________________________________
  7.  Total (add Lines 1 through 6)  .................    _______________________________________________________________________________________________
  8.  Average value (add Lines 7(a) & (b), 
      divide by two) ............................................    _______________________________________________________________________________________________
  9.  Rented property (rent paid x 8) .. ............   ____ __________________________________________________________________________________________

    Use triple weighted sales factor                                       a. In Tennessee           b. Total Everywhere              c. Franchise Ratio           d. Excise Ratio
   10.  Property factor (add Lines 8 and 9) ........    ______________________________________________________________________________________________%                           %
   11.  Payroll factor .............................................    ______________________________________________________________________________________________%           %
   12.  Sales factor (business gross receipts) ....    ______________________________________________________________________________________________%                            %
    13.  Total ratios (add Lines 10, 11 and 
      (Line 12 x three)) .......................................    ______________________________________________________________________________________________%               %
   14.  Apportionment ratio (divide Line 13 by five, or by the number of factors with 
      everywhere values greater than zero) (Enter franchise ratio to Schedule F1, Line 2.
      Enter excise ratio on Schedule J, Line 37.) .............................................................................    _______________________________________________% %



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 Taxable  Year                   Taxpayer  Name                                                   Account  No./FEIN

Schedule  M ‑ Nonbusiness Earnings Allocation
Allocation and apportionment schedules may be used only by taxpayers doing business outside the state of Tennessee within the meaning
of Tenn. Code Ann. §§ 67-4-2010 and 67-4-2110.  The burden is on the taxpayer to show that the taxpayer has the right to apportion.
If all earnings are business earnings as defined below, do not complete this schedule.  Any nonbusiness earnings, less related expenses, 
are subject to direct allocation and should be reported in this schedule.

"Business Earnings" - 1) earnings arising from transactions and activity in the regular course of the taxpayer’s trade or business, or 
2)    earnings  from  tangible  and  intangible  property  if  the  acquisition,  use,  management,  or  disposition  of  the  property  constitutes                                                        
an  integral part of the taxpayer’s regular trade or business operations.  Earnings which arise from the conduct of the trade or trades or  
business  operations of a taxpayer are business earnings, and the taxpayer must show by clear and cogent evidence that particular earnings 
are classifiable as nonbusiness earnings.  A taxpayer may have more than one regular trade or business in determining whether income 
is business earnings.

"Nonbusiness Earnings" - all earnings other than business earnings

                                                                                                                        Net Amounts
           Description of Nonbusiness Earnings                      Gross        *Less Related   Net                Allocated Directly
      (If further description is necessary, see below)          Amounts              Expenses    Amounts                to Tennessee

1.  ___________________________________________________________________________________________________________________________________________
2.  ___________________________________________________________________________________________________________________________________________
3.  ___________________________________________________________________________________________________________________________________________
4.  ___________________________________________________________________________________________________________________________________________
5.  ___________________________________________________________________________________________________________________________________________
6.  ___________________________________________________________________________________________________________________________________________
7.  ___________________________________________________________________________________________________________________________________________
 8.  ___________________________________________________________________________________________________________________________________________Total nonbusiness earnings (Enter here and on Schedule J, Line 26)   
 9.  ___________________________________________________________________________________________________________________________________________Nonbusiness earnings allocated directly (Enter here and on Schedule J, Line 39) 

If necessary, describe source of nonbusiness earnings and explain why such earnings do not constitute business earnings as defined above. 
Enumerate these items to correspond with items listed above.

*As a general rule, the allowable deductions for expenses of a taxpayer are related to both business and nonbusiness earnings.  Items 
such as administrative costs, taxes, insurance, repairs, maintenance, and depreciation are to be considered. In the absence of evidence to 
the contrary, it is assumed that the expenses related to nonbusiness rental earnings will be an amount equal to 50% of such earnings and   
that the expenses related to other nonbusiness earnings will be an amount equal to 5% of such earnings. (see Tenn. Comp. R. & Regs.
1320-06-01.23(3)).



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 Taxable Year                       Taxpayer Name                                                  Account No./FEIN

Schedule T ‑ Industrial Machinery and Research and Development Equipment Tax Credit
 Part 1:  Tax Credit Computation
 Franchise and excise taxes may be reduced by a credit on industrial machinery and research and development equipment purchased during 
 the tax period covered by the return and located in Tennessee. The credit is generally computed at 1% of the purchase price of qualified 
 industrial machinery and research and development equipment. The credit taken on any return cannot exceed 50% of the current year’s 
 franchise and excise tax liability, but any unused credit may be carried forward 15 years under Tenn. Code Ann. § 67-4-2009(3).
  1.  Purchase price of industrial machinery and research and development equipment   ....................................(1)  __________________________
  2.  Percentage allowed (generally 1%*)  ......................................................................................................................(2)  __________________________%

  3.  Current year credit (multiply Line 1 by Line 2)  ......................................................................................................(3)  __________________________
  4.  Credit available from prior year(s) (from Schedule V) ..........................................................................................(4)  __________________________
  5.  Total credit available (add Lines 3 and 4)  ..............................................................................................................(5)  __________________________
  6.  Franchise and excise tax liability before any credits (add Schedule A, Line 3 and Schedule B, Line 5) ..........(6)  __________________________
  7.  Limitation on credit (50% of Line 6)  .......................................................................................................................(7)  __________________________
  8.  Franchise and excise tax liability before any credits (add Schedule A, Line 3 and Schedule B, Line 5)  .........(8)  __________________________
  9.  Credits from Schedule D, Lines 1 through 4 and Schedule D, Line 7 .................................................................(9)  __________________________
 10.  Tax before Industrial Machinery Credit (subtract Line 9 from Line 8)  .............................................................(10)  __________________________
 11.  Amount available in current year (enter the smaller value of Lines 5, 7, or 10 here, and on  
        Schedule D, Line 5)  .................................................................................................................................................(11)  __________________________

 Part 2:  Recapture of Tax Credit
 The Industrial Machinery Tax Credit previously established on this form must be partially recaptured if the equipment on which it was 
 based was sold or removed from the state before the end of the equipment’s life as established for federal income tax purposes.  The 
 recapture amount is a percentage of useful life remaining at the time of sale or removal multiplied by the credit originally established 
 on this form.  Previously established credits have either offset tax or populated the carryover table Schedule V.  Complete the Industrial 
 Machinery Credit Recapture Worksheet and then enter the applicable recapture amounts on Lines 12 and 13 below.
 12.   Reduction to credit carryover table, Schedule V,  from recapture worksheet, Part 2, Line 16   ....................(12)  __________________________
  13.  Recapture of credit from recapture worksheet, Part 2, Line 17 (enter here and on Schedule B, Line 6) ....(13)  __________________________

 *The percentage allowed on Part 1, Line 2 above is 1%, unless the taxpayer has met the requirements of Tenn. Code Ann. § 67-4-2009(3)(I) 
 and has been approved by the Commissioner of Revenue for an enhanced rate based on the investment amount.  The statutory minimum 
 investment requirements and applicable rates for the enhanced credit are shown on the following chart:

                         Minimum Required Capital Investment Rate of Credit 
                                          $100,000,000       3%
                                          $250,000,000       5%
                                          $500,000,000       7%
                                          $1,000,000,000     10%



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 page 10
 Taxable Year                    Taxpayer Name                       Account No./FEIN

 Schedule U ‑ Schedule of Loss Carryover
 Net operating losses may be carried forward and used to offset income for up to 15 years or until fully utilized, whichever 
 occurs first.  Tenn. Code Ann. § 67-4-2006(c)(8) requires that loss carryover be reduced by the Tennessee portion of discharge 
 of indebtedness income excluded from federal gross income under IRC Section 108(a) where the bankruptcy discharge 
 occurs on or after October 1, 2013.  See Excise Tax Report of Bankruptcy Discharge form and the above referenced code 
 section for more information.

        Period 
  Year  Ended    Original Return or            Used in                                                                                Loss Carryover
        (MM/YY) as Amended                     Prior Year(s) Expired                                                                  Available
___________________________________________________________________________________________________________________1
___________________________________________________________________________________________________________________2
___________________________________________________________________________________________________________________3
___________________________________________________________________________________________________________________4
___________________________________________________________________________________________________________________5
___________________________________________________________________________________________________________________6
___________________________________________________________________________________________________________________7
___________________________________________________________________________________________________________________8
___________________________________________________________________________________________________________________9
___________________________________________________________________________________________________________________10
___________________________________________________________________________________________________________________11
___________________________________________________________________________________________________________________12
___________________________________________________________________________________________________________________13
___________________________________________________________________________________________________________________14
___________________________________________________________________________________________________________________15
  Total Amount (Enter here and on Schedule J, Line 40) ............................................................................    

    Schedule V ‑ Schedule of Industrial Machinery and Research and Development Equipment Credit Carryover

 Industrial Machinery Credit may be carried forward and used to offset franchise and excise tax for up to 15 years or until 
 fully utilized, whichever occurs first.

        Period                                                                                                                        Industrial Machinery
  Year  Ended    Original Return or            Used in                                                                                Credit Carryover
        (MM/YY) as Amended                     Prior Year(s) Expired or Recaptured                                                    Available
 ________________________________________________________________________________________________________________________________1
 ________________________________________________________________________________________________________________________________2
 ________________________________________________________________________________________________________________________________3
 ________________________________________________________________________________________________________________________________4
 ________________________________________________________________________________________________________________________________5
 ________________________________________________________________________________________________________________________________6
 ________________________________________________________________________________________________________________________________7
 ________________________________________________________________________________________________________________________________8
 ________________________________________________________________________________________________________________________________9
 ________________________________________________________________________________________________________________________________10
 ________________________________________________________________________________________________________________________________11
 ________________________________________________________________________________________________________________________________12
 ________________________________________________________________________________________________________________________________13
 ________________________________________________________________________________________________________________________________14
 ________________________________________________________________________________________________________________________________15
    Total Amount (Enter here and on Schedule T, Line 4) .............................................................................






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