Arkansas Enterprise Zone Application
_______________________________________________________________
Application OFFICE USE ONLY
SIC
Arkansas Enterprise Zone Program of 1993 _____________
PROJECT #
_______________________________________________________________
Applicant
________________________________________________________________________
Name of Enterprise Zone Business
________________________________________________________________________
Principal Mailing Address City/State/Zip
________________________________________________________________________
Physical Location (for auditing purposes) City/State/Zip
________________________________________________________________________
Name and Title of Local Company Contact Phone
________________________________________________________________________
If company is filing for tax credit under a different name, please
give complete name
Taxpayer
Consultant
________________________________________________________________________
Name of Individual or Company/Firm
________________________________________________________________________
Mailing Address City/State/Zip
________________________________________________________________________
Name of Contact Person Phone (Please list 800 number if
available)
________________________________________________________________________
Project Cost
This application MUST include a project plan if Date Received
applying for sales and use tax credit.
Estimates
Land. . . . . . . . . . . . . . $__________
Buildings . . . . . . . . . . . $__________
Equipment . . . . . . . . . . . $__________
*Other. . . . . . . . . . . . . $__________
TOTAL $__________
*Please attach description of other eligible costs.
_______________________________________________________________
Employers Federal I.D. Number --
Arkansas State or Consumer Use Tax Number --
--
_______________________________________________________________
Present employment _______ Projected number of net new employee (s)* after
completion _______
Note: To qualify for the sales and use tax and income tax credits, business MUST
hire the requisite number of new permanent employees within a 24 month period.
*The definition of a net new employee is provided in the Enterprise Zone
Regulations.
________________________________________________________________________________
____
Description of principal business activity, products manufactured, etc.
________________________________________________________________________________
____
________________________________________________________________________________
____
________________________________________________________________________________
____
________________________________________________________________________________
____
________________________________________________________________________________
____
Application for Arkansas Enterprise Zone Program of 1993
Page 2 of 2
______________________________________________________________________
______________
Information for Income Tax Exemption:
Ownership of your business: (please check all appropriate
boxes)
Individual Fiduciary Partnership
Taxable Corporation Small Business Corporation
Percent Social
Security Number
Owner's Name(s) Ownership or Corporate Tax I.D.
Number
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
When does your tax year end?
Month Day Year
______________________________________________________________________
______________
CERTIFICATION
BEFORE ME, the undersigned authority, personally came and
appeared_________________
Name of Company
Official
who being first duly sworn did depose and say that he/she is
_____________________ of
Title
______________________________________________________________________
__
Name of Enterprise Zone Business
This affidavit is made for the specific purpose of verifying
that he/she has examined the
information contained in these two pages.
Sworn to and subscribed before me this _______ day of
__________________, 19 ____.
___________________________________
Notary
My Commission Expires __________________ Seal
By ___________________________________
Signature of Company Official
Exhibit A. Sample Resolution
RESOLUTION No. 1234
RESOLUTION OF THE (governing body of municipality of county in whose
jurisdiction of the facility is located) OF (name of city or county)
CERTIFYING LOCAL GOVERNMENT ENDORSEMENT OF BUSINESS TO PARTICIPATE IN
THE ARKANSAS ENTERPRISE ZONE PROGRAM OF 1993.
WHEREAS, the local government must endorse a business or enterprise to
participate in the Arkansas Enterprise Zone Program and benefit from
the refunds/tax credits as provided in the Arkansas Enterprise Zone
Program Regulations of 1993; and
WHEREAS, said endorsement must be made on specific form available from
AIDC; and
WHEREAS, (name of company) located at (physical location of business)
has sought to participate in the program and more specifically has
requested benefits accruing from (expansion/construction) of the
specific facility; and
WHEREAS, (name of company) has agreed to furnish the local government
all necessary information for compliance.
NOW THEREFORE BE IT RESOLVED BY THE (governing body of municipality or
county) OF (name of city or county), ARKANSAS, THAT:
1. (name of company) be endorsed by the (city/county) of (name of
city or county) for benefits from the refunds/tax credits as
provided in the Arkansas Enterprise Zone Program Regulations of
1993, through June 30, 1999.
2. the Department of Finance and Administration be authorized to
refund local sales and use taxes to (name of company)
(OPTIONAL).
3. this resolution shall take effect immediately.
_______________________________
(title of head of governing
body)
Date passed: ____________
Attest: ____________
Clerk
Exhibit B. Instructions for Preparing a Project Plan
PROJECT PLAN
If applying for sales and use tax credit, the application for the
Arkansas Enterprise Zone Program of 1993 must be accompanied by a
brief project plan with information needed to determine the purpose of
the project.
The project plan should include, but is not limited to, the following
items;
1. Project Description
A narrative describing the purpose and description of the project
such as;
a. construction of a new plant or facility; or
b. expansion of an established plant or facility by
adding to the building or production equipment or
support infrastructure; or
c. replacement of production or processing equipment or
support infrastructure.
2. Cost Breakdown:
Provide cost estimates for each general category of items such
as; processing machinery, packaging machinery, computers, boilers,
structures, storage facilities, conveyors, etc. These need not be
item-by-item lists; they can be grouped into related categories
as long as they can be identified for auditing purposes.
If you have any questions about the Enterprise Zone Program and the
approval process, call Jennifer Young at (501) 682-7310. If you have
questions on the year-end filing and tax credits and refunds, please
call Mrs. Ramona Taylor with the Tax Credit Section, Department of
Finance and Administration in Little Rock at (501) 682-6986.
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Last Modified 9/14/98. http://www.aiea.ualr.edu/research/ezoneapp.html