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                                                                                                                                                                                  RV-R0011001 (12/23)
                    TENNESSEE DEPARTMENT OF REVENUE
                    2023 Franchise and Excise Tax Return
                      Tax Year Beginning              Account Number                                                                         Check all that apply:
       FAE
                                                                                                                                             a)  Amended return
       170
                      Tax Year Ending                 FEIN
                                                                                                                                             b)  Final return
                                                                                                                                             c)  Public Law 86-272 applied to excise tax
                      NAICS                           SOS Control Number
                                                                                                                                             d)  Taxpayer has made an election to 
                                                                                                                                             calculate net worth per the provisions of 
                                                                                                                                             Tenn. Code Ann.  §67-4-2103(g)-(i)
      Legal Name
                                                                                                                                             e)  Taxpayer has filed the prescribed form 
                                                                                                                                             to revoke its election made per Tenn. 
                                                                                                                                             Code Ann.  §67-4-2103(g)-(i)
      Mailing Address                                                                                                                        f)  Annualized income installment method 
                                                                                                                                             for quarterly estimates election
                                                                                                                                             g)  Manufacturer single sales factor election
      City                                                                                                                                   h)  Revoke manufacturer single sales factor 
                                                                                                                                             election
                                                                                                                                             i)  Taxpayer has filed for federal extension
      State                                                       ZIP Code                                                                   j)  Triple weighted sales election
                                                                                                                                             k)  Telecom Qualified Member
                                                                                                                                             Date Tennessee operations began (see instructions)

    Schedule A ‑ Computation of Franchise Tax                                                                                                                         Round to the nearest dollar
  1.  Total net worth Schedule F1, Line 5 or Schedule F2, Line 3  ....................................................................................... (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 36 ................................................................................................ (4)   ______________________________________
  5.  Excise tax (6.5% of Line 4)  .............................................................................................................................................. (5)   ______________________________________
  6.  Recapture of tax credit (Schedule T, Line 13) and additional excise tax on certified distribution sales .............. (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 10 (cannot exceed Schedule C, 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 $ _______________________________
    Power of Attorney - Check YES if this taxpayer's Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge 
                                                     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 
    and to perform any and all acts relating to                Tax Preparer's Signature                                                      Preparer's PTIN          Date        Telephone
    respective tax matters.                    
                YES                                  Preparer's Address                                                                      City                              State      ZIP Code
                                                     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.  Green Energy Tax Credit from business plans filed prior to July 1, 2015 ..........................................................................(2)   _________________________________
  3.  Brownfield Property Credits  ..................................................................................................................................................(3)   _________________________________
  4.  Broadband Internet Access Tax Credit carryover for service providers............................................................................(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.    Qualified Production Credit from Schedule QP, Line 12...................................................................................................... (8)  _________________________________
   9.     Employer Credit for Paid Family and Medical Leave from Schedule PL ............................................................................(9)  _________________________________
  10.   Total credit (add Lines 1 through 9; enter here and on Schedule C, Line 9) .................................................................. (10)   _________________________________

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
Schedule F1  ‑ Non‑Consolidated  Net Worth
  1.  Net worth (total assets less total liabilities) ...........................................................................................................................(1)   ________________________________
  2.  Indebtedness to or guaranteed by parent or affiliated corporation (cannot be a deduction) ........................................(2)   ________________________________
  3.  Total (add Lines 1 and 2) ..........................................................................................................................................................(3)   ________________________________
  4.  Franchise tax apportionment ratio (Schedules N, N1, O, P, R or S if applicable or 100%) ...............................................(4)   ________________________________%
  5.  Total (multiply Line 3 by Line 4; enter here and on Schedule A, Line 1) .............................................................................(5)   ________________________________

Schedule F2 ‑ Consolidated  Net  Worth
  Schedule F2 is to be completed only if the Consolidated Net Worth Election Registration Application has been filed.
  1.  Consolidated net worth (total assets less total liabilities of the affiliated group) .............................................................(1)   ________________________________
  2.  Franchise tax apportionment ratio (Schedule 170NC, 170NC1, 170SF or 170SC) .............................................................(2)   ________________________________%
  3.  Total (multiply Line 1 by Line 2; enter here and on Schedule A, Line 1) .............................................................................(3)   ________________________________

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) and equipment used to
    produce electricity at a certified green energy production facility .....................................................................................(8)   ________________________________
  9.  Exempt required capital investment ......................................................................................................................................(9)   ________________________________
 10.  Subtotal (add Lines 1 through 7a, subtract Lines 7b through 9) ...................................................................................... (10)   ________________________________
        Rental Value of Property Used but Not Owned                                                                                                     
       Net Annual Rental Paid for:                                                                                                    In Tennessee
 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 23)  ........................................................................................................(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 or loss from federal Form 1040, Schedule C ...........................................................................................(1)   _________________________________
  2.  Business Income or loss from federal Form 1040, Schedule D ...........................................................................................(2)   _________________________________
  3.  Business Income or loss from federal Form 1040, Schedule E ...........................................................................................(3)   _________________________________
  4.  Business Income or loss from federal Form 1040, Schedule F............................................................................................(4)   _________________________________
  5.  Business Income or loss 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 22) .......................................................................................................(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) ....................................................................................................................................................(1)   _________________________________
  2.  a. REIT taxable income before net operating loss deduction and  special deductions (federal Form 
          1120-REIT, Line 21) .......................................................................................................... (2a)  ___________________________
        b. REIT deduction for dividends paid (federal Form 1120-REIT, Line 22b) ...................(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)   _____________________________

          Additions:
  2.  Intangible expenses paid, accrued, or incurred to an affiliated business entity or entities deducted for 
   federal income tax purposes .........................................................................................................................................................(2)   _____________________________
  3.  Any depreciation under the provisions of IRC Section 168 not permitted for excise tax purposes due to 
   Tennessee decoupling from federal bonus depreciation for assets purchased on or before 
   December 31, 2022 .........................................................................................................................................................................(3)   _____________________________
  4.  Gain on the sale of an asset sold within 12 months after the date of distribution to a nontaxable entity .........................(4)   _____________________________
  5.  Tennessee excise tax expense (to the extent reported for federal income tax purposes) ...................................................(5)   _____________________________
  6.  Gross premiums tax deducted in determining federal income and used as an excise tax credit ........................................(6)   _____________________________
  7.  Interest income on obligations of states and their political subdivisions, less allowable amortization ..............................(7)   _____________________________
  8.  Depletion not based on actual recovery of cost ..........................................................................................................................(8)   _____________________________
  9.  Excess fair market value over book value of property donated................................................................................................(9)   _____________________________
 10.  Excess rent to/from an affiliate ...................................................................................................................................................(10)   _____________________________
 11.  Net loss or expense received from a pass-through entity subject to the excise tax (attach schedule) .............................(11)   _____________________________
 12.  An amount equal to five percent of IRC Section 951A global intangible low-taxed income 
   deducted on Line 27 .....................................................................................................................................................................(12)   _____________________________
 13.   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 .......................................................................................................(13) ______________________________
 14.   Research and experimental expenditures deducted under IRC Section 174 in arriving at the amount
         reported on Sch. J, Line 1...............................................................................................................................................................(14)  ______________________________
 15.   Total additions (add Lines 2 through 14) ....................................................................................................................................(15)   _____________________________  
  
           Deductions:
 16.  Any depreciation under the provisions of IRC Section 168 permitted for excise tax purposes due to 
   Tennessee decoupling from federal bonus depreciation for assets purchased on or before 
   December 31, 2022     ...................................................................................................................................................................(16)   _____________________________
 17.  Any excess gain (or loss) from the basis adjustment resulting from Tennessee decoupling from federal bonus 
   depreciation for assests purchased on or before December 31, 2022 ..................................................................................(17)   _____________________________
 18.  Dividends received from corporations at least 80% owned  ...................................................................................................(18)   _____________________________
 19.  Donations to qualified public school support groups and nonprofit organizations ............................................................(19)   _____________________________
 20.  Any expense other than income taxes not deducted in determining federal taxable income for which  
   a credit against the federal income tax was allowed ................................................................................................................(20)   _____________________________
 21.  Adjustments related to the safe harbor lease election (see instructions) .............................................................................(21)   _____________________________
 22.  Nonbusiness earnings (from Schedule M, Line 8) .....................................................................................................................(22)   _____________________________
 23.  Intangible expenses paid, accrued, or incurred to an affiliated entity or entities (from Form IE, Line 4)
   Attach Form IE - Intangible Expense Disclosure ........................................................................................................................(23)   _____________________________
 24.  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) ..................................(24)   _____________________________
 25.  Net gain or income received from a pass-through entity subject to the excise tax (attach schedule)...............................(25)   _____________________________
 26.  Deductible Grants from governmental units .............................................................................................................................(26)   _____________________________
 27.  IRC Section 951A global intangible low-taxed income ..............................................................................................................(27)   _____________________________
 28.   a. Business interest expense currently deductible. See instructions ...................................................................................(28a)  ______________________________
   b. Business interest expense carryforward available for future tax years......(28b)___________________________
 29.   Research and experimental expenditures currently deductible.  See instructions.................................................................(29)______________________________
 30.   Total deductions (add Lines 16 through 29, excluding 28b)...................................................................................................... (30)______________________________
Computation of Taxable Income
 31.   Total business income (loss) (add Lines 1 and 15, subtract Line 30; if loss, enter on Schedule K, Line 1) .........................(31)   _____________________________
 32.  Excise tax apportionment ratio (Schedules N, N1, O, P, R or S if applicable or 100%) .........................................................(32)   _____________________________%
 33.  Apportioned business income (loss) (multiply Line 31 by Line 32) .........................................................................................(33)   _____________________________   
 34.   Nonbusiness earnings directly allocated to Tennessee (from Schedule M, Line 9)................................................................(34) ______________________________ 
 35.   Loss carryover from prior years (from Schedule U)....................................................................................................................(35) ______________________________
 36.   Subject to excise tax (add Line 33 and 34, subtract Line 35; enter here and on Schedule B, Line 4)....................................(36)______________________________




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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 31 ..................................................................................................................................................(1)  __________________________
       Additions:
   2.  Amounts reported on Schedule J, Lines 18 and 22 .....................................................................................................................(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 (Schedules N, N1, O, P, R or S if applicable or 100%) ...........................................................(5)   _____________________________%
   6.  Current year loss carryover available (multiply Line 4 by Line 5) ..............................................................................................(6)   _____________________________
 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 22)   
 9.  ___________________________________________________________________________________________________________________________________________Nonbusiness earnings allocated directly (Enter here and on Schedule J, Line 34) 

   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 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 N ‑ Apportionment ‑ Standard (Schedule N1 filers: complete the Schedule N property section, lines 1-12)
                          Property                                                                       In Tennessee                                           Total Everywhere
 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.  Excise tax total (add Lines 1 through 6)   ............................   _______________________________________________________________________________________________________________________________________________a. b. a.   b.
  8.  Exempt inventory  ......................................................................   _______________________________________________________________________________________________________________________________________________ 
  9.  Franchise tax total (subtract Line 8 from Line 7)  ...........     __________________________________________________________________________________________________________________________a. b. a. b.
 10.  Excise tax average value (add Lines 7(a) & (b), divide by two) ...   _______________________________________________________________________________________________________________________________________________
 11.  Franchise tax average value (add Lines 9(a) & (b), divide by two)_______________________________________________________________________________________________________________________________________________
 12.  Rented property (rent paid x 8) ............................................    _______________________________________________________________________________________________________________________________________________
  Use 5X weighted sales factor                                                                           a. In Tennessee                 b. Total Everywhere    c. Franchise Ratio        d.  Excise Ratio
 13.  Excise tax property factor (add Lines 10 and 12)   ...........   _______________________________________________________________________________________________________________________________________________%
 14.  Franchise tax property factor (add Lines 11 and12)   .....   _______________________________________________________________________________________________________________________________________________ %
 15.  Payroll factor ................................................................................   _______________________________________________________________________________________________________________________________________________% %
 16.  Sales factor (business gross receipts)  ................................   _______________________________________________________________________________________________________________________________________________% %
 17.  Total ratios (add Lines 13-15 and (Line 16 x five)) ........   _______________________________________________________________________________________________________________________________________________% %                          
  18. Apportionment ratio (divide Line 17 by seven, or by the number of factors with everywhere values greater than zero) 
        (Enter franchise tax apportionment ratio on Sch. F1, Line 4.  Enter excise tax apportionment ratio on Sch. J, Line 32.) ...........                                        %                            %
 Schedule N1 ‑ Apportionment ‑Taxpayers electing to continue using triple weighted sales or any taxpayer required 
 to use triple weighted sales by Tennessee Code Annotated, Section 67‑4‑2012(a) (Schedule N1 filers: complete the 
 Schedule N property section, lines 1-12) 
  Use triple weighted sales factor
  1.  Excise tax property factor (add Lines 10 and 12)    ...........   _______________________________________________________________________________________________________________________________________________%
  2.  Franchise tax property factor (add Lines 11 and12)   .....   _______________________________________________________________________________________________________________________________________________ %
  3.  Payroll factor ................................................................................   _______________________________________________________________________________________________________________________________________________% %
  4.  Sales factor (business gross receipts)  ................................   _______________________________________________________________________________________________________________________________________________% %
  5.  Total ratios (add Lines 1- 3 and (Line 4 x three)) ...........   _______________________________________________________________________________________________________________________________________________% %                        
  6.  Apportionment ratio (divide Line 5 by five, or by the number of factors with everywhere values greater than zero) 
        (Enter franchise tax apportionment ratio on Sch. F1, Line 4.  Enter excise tax apportionment ratio on Sch. J, Line 32.) ...........                                        %                            %



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  Taxable Year                                  Taxpayer Name                                                                                                Account No./FEIN

  Schedule O ‑ Apportionment ‑ Common Carriers (railroads,  motor carriers,  pipelines  and  barges)
                                                                                                                                                In Tennessee Total Everywhere        Ratio
  1.  Total franchise mileage (odometer miles) ......................................................................   ____________________________________________________________________________________________   
  2.  Tennessee gross intrastate receipts and interstate gross receipts everywhere ........   ____________________________________________________________________________________________  %
  3.  Total ratios (add Lines 1 and 2) ........................................................................................   ____________________________________________________________________________________________%
  4.  Apportionment ratio (divide Line 3 by two, or by the number of factors with everywhere values greater than zero)  (Enter franchise tax  
        apportionment ratio on Schedule F1, Line 4.  Enter excise tax apportionment ratio on Schedule J, Line 32.) ...............................................................        %
 Schedule P ‑ Apportionment ‑ Air Carriers
                                                                                                                                                In Tennessee Total Everywhere        Ratio
  1.  Originating  revenue ..........................................................................................................   ____________________________________________________________________________________________   
  2.  Air miles  flown  (Include in Tennessee column only air miles flown on flights either
        originating from or ending in Tennessee or both) .........................................................   ____________________________________________________________________________________________  %
  3.  Total ratios (add Lines 1 and 2) ........................................................................................   ____________________________________________________________________________________________%
  4.  Apportionment ratio (divide Line 3 by two, or by the number of factors with everywhere values greater than zero) (Enter franchise tax  
        apportionment ratio on Schedule F1, Line 4.  Enter excise tax apportionment ratio on Schedule J, Line 32.) ...............................................................        %

  Schedule R ‑ Apportionment ‑ Air Express Carriers
                                                                                                                                                In Tennessee Total Everywhere        Ratio
  1.  Originating revenue ...........................................................................................................   ____________________________________________________________________________________________  %
  2.  Air miles flown  and ground miles traveled (Include in Tennessee column only
        air miles flown on flights either originating from or ending in Tennessee or both.
        Include only ground miles traveled with respect to actual common carriage of                                                                                                      %
        persons or property for hire.) ...........................................................................................   ____________________________________________________________________________________________   
  3.  Total ratios ..........................................................................................................................   ____________________________________________________________________________________________%
  4.  Apportionment ratio (divide Line 3 by two, or by the number of factors with everywhere values greater than zero) (Enter franchise tax  
        apportionment ratio on Schedule F1, Line 4.  Enter excise tax apportionment ratio on Schedule J, Line 32.) ..............................................................    ______________________________% 
  Schedule S ‑ Apportionment ‑ Manufacturer Single Sales Factor
                                                                                                                                                In Tennessee Total Everywhere        Ratio
  1.  Sales factor (business gross receipts) (Enter franchise tax apportionment ratio on 
        Schedule F1, Line 4.  Enter excise tax apportionment ratio on Schedule J, Line 32.) .....                                                                                         %



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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 25 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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 Taxable Year  Taxpayer Name                                  Account No./FEIN

 Schedule U ‑ Schedule of Loss Carryover

       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 35) ............................................................................    

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

       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
     16 ___________________________________________________________________________________________________________________________

    Total Amount  (Enter here  and on Schedule T, Line 4) ...........................................................................






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