Tennessee Quarterly Franchise, Excise Tax Declaration

Quarterly Franchise, Excise Tax Declaration
Estimated Payment Declarations
TENNESSEE DEPARTMENT OF REVENUE

R0011301

FAE
172

QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
Account No.
Taxable
Year

Beginning
Ending

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 and prior tax years must make
four quarterly estimated 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) 253-0700.

REMINDERS

1. All franchise, excise tax forms are required to be filed electronically. An electronic version of this form is available online at
apps.tn.gov/fnetax. Tenn. Code Ann. Section 67-1-115 (b) authorizes the Commissioner of Revenue to require a manual handling
fee up to $25 on paper filings.
2. If you choose to file on paper, please use due care to select the correct quarterly voucher, since payments are applied to the
applicable quarterly installment based on the prenumbered vouchers.
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.
ROUND TO NEAREST DOLLAR

1. Estimated Franchise, Excise tax liability ........................................................................................

00
____________________________

2. Less: Franchise, Excise Tax Credits and prior year overpayments .............................................

00
____________________________

3. Net Estimated Franchise, Excise tax liability ................................................................................

00
____________________________

4. Estimated payment (one fourth of Line 3) ...................................................................................

00
____________________________

KEEP UPPER PORTION FOR YOUR RECORDS-RETURN COPY BELOW

FAE
172

TENNESSEE DEPARTMENT OF REVENUE
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
Taxable BEGINNING
Year
ACCOUNT NUMBER

ENDING

1

Due Date:
If your account number is not preprinted or unknown, enter federal identification or social
security number.

(FEIN/
SSN)
AMOUNT OF
PAYMENT

00

FOR OFFICE
USE ONLY

RV-R0011301

INTERNET (9-16)

INSTRUCTIONS
1. WHO MUST MAKE ESTIMATED TAX PAYMENTS: Taxpayers with a franchise, excise tax liability of $5,000 or more in the prior
tax year 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. REQUIRED PAYMENT: The minimum amount of each quarterly payment shall be the lesser of: (a) 25% of the combined
franchise, 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 80% of the combined franchise, excise tax liability for the current tax year.
4. PENALTY AND INTEREST: Penalty at the rate of 2% per month, up to 24%, and interest at the current rate per annum are imposed
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 forms are required to be filed electronically. An electronic version of this form
is available online at apps.tn.gov/fnetax. Tenn. Code Ann. Section 67-1-115 (b) authorizes the Commissioner of Revenue to
require a manual handling fee up to $25 on paper filings. If you choose to file on paper, excise tax payments must be
accompanied by the Tennessee Estimated Franchise, Excise Tax Declaration form. Please use due care to select the correct
quarterly voucher since payments are applied to the applicable quarterly installment based on the prenumbered vouchers.
RECORD OF ESTIMATED TAX PAYMENTS
DUE DATE OF PAYMENT

DATE PAID

AMOUNT PAID

_____________________________________________________________
1.
___________________________________________________________________________
2.
___________________________________________________________________________
3.
___________________________________________________________________________
4.
___________________________________________________________________________
Total payments to be taken on completed return

INTERNET (9-16)

FAE
172

TENNESSEE DEPARTMENT OF REVENUE
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
Taxable BEGINNING
Year

2

ENDING

Due Date:
If your account number is not preprinted or unknown, enter federal identification or social
security number.

(FEIN/
SSN)

ACCOUNT NUMBER

AMOUNT OF
PAYMENT

00

FOR OFFICE
USE ONLY

RV-R0011301

FAE
172

TENNESSEE DEPARTMENT OF REVENUE
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
Taxable BEGINNING
Year

3

ENDING

Due Date:
If your account number is not preprinted or unknown, enter federal identification or social
security number.

(FEIN/
SSN)

ACCOUNT NUMBER

AMOUNT OF
PAYMENT

00

FOR OFFICE
USE ONLY

RV-R0011301

FAE
172

TENNESSEE DEPARTMENT OF REVENUE
QUARTERLY FRANCHISE, EXCISE TAX DECLARATION
Taxable BEGINNING
Year
ACCOUNT NUMBER

ENDING

4

Due Date:
If your account number is not preprinted or unknown, enter federal identification or social
security number.

(FEIN/
SSN)
AMOUNT OF
PAYMENT

00

FOR OFFICE
USE ONLY

RV-R0011301

INTERNET (9-16)