Dr 41C Form PDF Details

Are you a doctor who needs to complete the 41C form? This article will provide you with all of the information that you need to know in order to do so. The 41C form is used by doctors to report payments that they have received from pharmaceutical companies, and it is important that it is filled out correctly. In this article, we will discuss the different sections of the form and provide you with some tips on how to filling it out properly. Completing the 41C form can be confusing, but our guide will make it easy for you!

QuestionAnswer
Form NameDr 41C Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdr 41c form, form dealer tax, fl form dr 41c, florida dept of revenue form dr 41c dealers sales tax statement boats

Form Preview Example

Dealer’s Sales Tax Statement – Boats

DR-41C

R. 04/01

Date: ________________

I hereby certify that the sales tax due under Chapter 212, Florida Statutes, has been paid by the purchaser on the boat described herein:

Purchaser’s Name: ___________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: _________________________________ State: ________ ZIP: ________________ Phone: ( ) _______________________

Previous Owner’s Name: _______________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: _________________________________ State: ________ ZIP: ________________ Phone: ( ) _______________________

Description-Make: _________________________________ Model: ___________________ Hull Number: _____________________

State Registration and/or Documentation Number: __________________________________________________________________

Length: ________________ Beam: _______________________ Vessel Name: ___________________________________________

Type (check one): ❏ Inboard ❏ Outboard ❏ Sail ❏ Other

Date Purchased: ___________________ Purchase Price: $ _____________________ Tax Collected: $ ________________________

Dealer’s Name: ______________________________________________________________________________________________

Address: ___________________________________________________________________________________________________

City: _________________________________ State: ________ ZIP: ________________ Phone: ( ) _______________________

Certificate of Registration Number: _______________________________________________________________________________

Signature: __________________________________________________________________________________________________

This form is not valid unless completed in its entirety, signed by selling dealer, and the dealer’s sales tax certificate of registration number shown.

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fl form dr 41c completion process outlined (part 1)

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