RV-F1308601 (9/18)            
                               TENNESSEE DEPARTMENT OF REVENUE
                                          Franchise and Excise Tax
                                          Job Tax Credit Business Plan

   Taxpayer Name                                       Account Number                           FEIN

   Mailing Address
                        Street                         City                                     State         ZIP Code

   Capital Investment and Job Creation
  Principal Business Activity                          Investment Period:   From                           To

  Amount of Required Capital Investment                Number of New Jobs

  Briefly describe your planned capital investment and the estimated increase in qualified jobs:

   Qualified Business Enterprise (check all that apply)
    Manufacturing                                   Call center
    Processing tangible personal property           Convention or trade show facility
    Computer services                               Tourism related businesses
    Headquarters facility                           Promotes high skill, high wage jobs in high technology area,
    Aircraft repair service facility                emerging occupations, or skilled manufacturing
    Warehousing and distribution                    Back office operations
    Research and development                        High poverty area

   Job Tax Credit (check the box next to the level of credit for which you are applying)
    (a) Standard Job Tax Credit - Tenn. Code Ann. § 67-4-2109(b)(1) 
        County 
    (b) Additional Annual Job Tax Credit for Enhancement Counties - Tenn. Code Ann. § 67-4-2109(b)(2)(A)
        County 
    (c) Additional Annual Job Tax Credit for Adventure Tourism District - Tenn. Code Ann. § 67-4-2109(b)(2)(C)
        County                                      Adventure Tourism District
    (d) Additional Annual Job Tax Credit for Higher Level Investments - Tenn. Code Ann. § 67-4-2109(b)(2)(B) 
        (i)  $1,000,000,000 investment with at least 500 new industrial wage jobs
        (ii) $500,000,000 investment with at least 500 new industrial wage jobs
        (iii)  $250,000,000 investment with at least 250 new industrial wage jobs
        (iv)  $100,000,000 investment with at least 100 new industrial wage jobs
        (v)   Headquarters facility with a $10,000,000 investment and at least 100 new headquarters staff employees
    (e) Community Resurgence Job Tax Credit - Tenn. Code Ann. § 67-4-2109(q) 
        Physical Location Address                                            Census Tract
   Data Center Certification - Required by qualified data centers - Tenn. Code Ann. § 67-6-206  
    By checking this box and signing below, I certify that the taxpayer has not, within the previous 12 months, been found to 
    be in violation of the Worker Adjustment and Retraining Notification Act, the Fair Labor Standards Act of 1938, or federal 
    immigration laws.
  The statements made on this business plan are true to the best of my knowledge and belief. 

   Taxpayer’s Signature                       Title                                             Date          Telephone

                  Instructions: Franchise and Excise Job Tax Credit Business Plan

General Information
Who must file: A qualified business enterprise must file this business plan in order to qualify for the job tax credit 
provided by Tenn. Code Ann. § 67-4-2109(b) or (q).

When to file: The business plan must be filed and approved before any job tax credit can be taken on the franchise 
and excise tax return.

Complete the Business Plan by providing the complete legal name of the taxpayer, mailing address, FEIN, and 
franchise and excise tax account number. The account number may be found by using the account number online 
search available on the Department’s website at www.tn.gov/revenue.

If the entity creating the jobs is a disregarded single member limited liability company whose single member is a 
corporation, the entity indicated on the business plan should be the corporate member, since it is the taxpayer for 
franchise and excise tax purposes.

All entities must sign and date the business plan at the bottom of the page.

Capital Investment and Job Creation
Principal business activity: Describe the taxpayer’s principal business activity in Tennessee.

Investment period: Enter the beginning date (which is the effective date of the business plan) and ending date of 
the period during which qualified jobs will be created as a result of a required capital investment. The investment 
period cannot exceed three years. Jobs created outside the investment period do not qualify for job tax credit. The 
investment period may be extended under certain circumstances upon request to the Commissioner of Economic 
and Community Development.

Amount of required capital investment: The amount of investment to be made in real property, tangible personal 
property, or computer software owned or leased in Tennessee and valued in accordance with GAAP. The capital 
investment is deemed to have been made as of the date of payment or the date the business enterprise enters into 
a legally binding commitment or contract for purchase or construction.  Only capital investments made within the 
investment period are considered in determining  the amount of capital investment made.

Number of new jobs: Enter the number of qualified new jobs to be created during the investment period. A qualified 
job is generally a permanent employment position, rather than seasonal or part-time, in a qualified business 
enterprise that lasts at least 12 consecutive months for at least 37 ½ hours per week with minimum health care. The 
job position is considered new if it did not exist anywhere in Tennessee for at least 90 days prior to being filled. 

Adventure tourism job creation: The job position may meet the definition of a qualified job, as provided in Tenn. 
Code Ann. § 67-4-2109(a)(6)(A)(ii), if it is created on or after July 1, 2017, and a majority of the duties of the job 
position involve adventure tourism, as defined in Tenn. Code Ann. § 11-11-203, in an adventure tourism district. 
A qualifying adventure tourism job does not require minimum health care and may be a seasonal or part-time 
job. Seasonal and part-time adventure tourism jobs are counted as one-half of one job. An adventure tourism job 
position is considered new if it did not exist anywhere in Tennessee for 36 months prior to being filled.

Describe the creation or expansion of the qualified business enterprise: Provide a brief description of the 
investment made and how the investment relates to the number of qualified jobs created. Attach any 
documentation that would support your description.

Qualified Business Enterprise
Check the box next to the type of business that is being created or expanded by the required capital investment.

Job Tax Credit
In order to qualify for the job tax credit, the qualified business enterprise must make the required capital 
investment and create the minimum number of qualified jobs within the investment period. All requirements for 
the standard credit must be met before claiming any of the credits in (b), (c), or (d).

(a) Standard Job Tax Credit
Provide the name of the county where the capital investment will be made and the jobs created.

 County Tier                  Minimum Investment        Minimum Qualified Jobs         Credit Per Job
 Tier 1                       $500,000                           25                           $4,500
 Tier 2                       $500,000                           25                           $4,500
 Tier 3                       $500,000                           20                           $4,500
 Tier 4                       $500,000                           10                           $4,500

(b) Tier 2, 3 and 4 Enhancement Counties
A list of enhancement counties is available on the Department of Revenue’s website at www.tn.gov/revenue.

 County Tier     Minimum Investment            Minimum Qualified Credit Per Job        Duration of Annual 
                                                 Jobs                                         Credit
 Tier 2                       $500,000               25                 $4,500                3 years
 Tier 3                       $500,000               20                 $4,500                5 years
 Tier 4                       $500,000               10                 $4,500                5 years

(c) Adventure Tourism District

 County Tier     Minimum Investment            Minimum Qualified Credit Per Job        Duration of Annual 
                                                 Jobs                                         Credit
 Tier 1                       $500,000               25                 $4,500                3 years
 Tier 2                       $500,000               19                 $4,500                3 years
 Tier 3                       $500,000               13                 $4,500                5 years
 Tier 4                       $500,000               10                 $4,500                5 years
 
(d) Higher Level of Investment and Job Creation

 Minimum Investment           Minimum Qualified jobs           Credit Per Job          Duration of Annual Credit
 $1,000,000,000                         500                      $5,000                       20 years
 $500,000,000                           500                      $5,000                       12 years
 $250,000,000                           250                      $5,000                       6 years
 $100,000,000                           100                      $5,000                       3 years
 *$10,000,000                           100                      $5,000                       3 years
*Headquarters facility as defined in Tenn. Code Ann. § 67-6-224

(e) Community Resurgence Job Tax Credit

 Minimum Investment                     Minimum Qualified Jobs                         Credit Per Job
              $0                                     10                                $2,500

Data Center Certification
Tenn. Code Ann. § 67-6-206(d) requires that a data center qualified under that section, in order to qualify for the job 
tax credit, must make the certification located on the first page of this plan.  This box must be checked on business 
plans filed by qualified data centers in order to qualify for the job tax credit.

                         Mail the completed Business Plan to:
                         Tennessee Department of Revenue
                         P.O. Box 190644
                         Nashville, TN 37219-0644

For tax assistance call (800) 397-8395 if you are located in Tennessee, or (615) 253-0700 if you are located in the 
Nashville call area or out-of-state. For industrial recruitment information, call the Department of Economic and 
Community Development at (615) 741-3282 if you are located in Tennessee or (800) 251-8594 if you are located out-
of-state.