R0011301 |
TENNESSEE DEPARTMENT OF REVENUE |
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QUARTERLY FRANCHISE, EXCISE TAX DECLARATION |
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ACCOUNT NO. |
Taxable Beginning |
172 |
Year |
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TAXPAYER NAME AND MAILING ADDRESS |
NAME ___________________________________________________________________ |
BOX(STREET) ____________________________________________________________ |
CITY ____________________________________________________________________ |
STATE ________________ |
ZIP __________________________ |
Each taxpayer having a combined franchise and excise tax liability of $5,000 or more for the current tax year must make four quarterly es- timated tax payments. The payments are due on the 15th day of the fourth, sixth, and ninth months of the current year and the first month of the succeeding year.
Make your check payable to the Tennessee Department of Revenue and mail to:
Tennessee Department of Revenue
Andrew Jackson State Office Building
500 Deaderick Street
Nashville, TN 37242
For assistance, you may call in-state toll free 1-800-342-1003 or (615) 253-0600.
REMINDERS
1.Please read instructions on reverse side before preparing worksheet.
2.UsetheprenumberedvouchersandenvelopesprovidedbytheDepartmentofRevenue.
3.Enter the amount from Line 4 of the worksheet to the "Amount of Payment" field on the voucher.
4.If Line 4 of the worksheet is zero, please do not file the voucher.
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ROUND TO NEAREST DOLLAR |
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1. |
Estimated Franchise, Excise tax liability |
______________________ |
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2. |
Less: Franchise, Excise Tax Credits and prior year overpayments |
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3. |
Net Estimated Franchise, Excise tax liability |
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4. |
Estimated payment (one fourth of Line 3) |
______________________ |
KEEP UPPER PORTION FOR YOUR RECORDS-RETURN COPY BELOW 
TENNESSEE DEPARTMENT OF REVENUE |
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QUARTERLY FRANCHISE, EXCISE TAX DECLARATION |
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Taxable |
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ENDING |
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ACCOUNT NUMBER |
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Due Date:
If your account number is not preprinted or unknown, enter federal identification or social security number.
(FEIN/
SSN)
FOR OFFICE
USE ONLY
RV-R0011301 |
INTERNET(1-07) |
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INSTRUCTIONS
1.WHO MUST MAKE ESTIMATED TAX PAYMENTS: Taxpayers who expect a franchise, excise tax liability of $5,000 or more for the current tax year must file a declaration of their franchise, excise tax for the taxable year and make quarterly payments.
2.WHEN TO MAKE PAYMENTS: Quarterly payments of the estimated franchise, excise tax are to be made as follows:
1st payment - The 15th day of the 4th month of the current taxable year. 2nd payment - The 15th day of the 6th month of the current taxable year. 3rd payment - The 15th day of the 9th month of the current taxable year.
4th payment - The 15th day of the 1st month of the subsequent taxable year.
3.REQUIREDPAYMENT: Theminimumamountofeachquarterlypaymentshallbethelesserof:(a)25%ofthecombinedfranchise, excise tax shown on the tax return for the preceding tax year, annualized if the preceding tax year was for less than twelve (12) months; or (b) 25% of 100% of the combined franchise, excise tax liability for the current tax year.
4.PENALTYANDINTEREST: Penaltyattherateof5%permonth,upto25%,andinterestatthecurrentrateperannumareimposed upon any quarterly installment which is late or underpaid. Penalty and interest are computed from the due date of the installment to the date paid or until the fifteenth day of the fourth month following the close of the taxable year.
5.WHICH FORM TO USE: All franchise, excise tax payments must be accompanied by the Tennessee Estimated Franchise, ExciseTaxDeclarationform.Ifyoureceivedapreaddressedpacket,pleaseusetheprenumberedvouchersandenvelopessupplied with the packet. This will help expedite the processing of your estimated payments.
RECORD OF ESTIMATED TAX PAYMENTS
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DUE DATE OF PAYMENT |
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DATE PAID |
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AMOUNT PAID |
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Total payments to be taken on completed return |
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