Fl Dr 1 Form – Fill Out and Use This PDF

Florida Business Tax Application

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DR-1

R. 03/20

Rule 12A-1.097, F.A.C.

Effective 03/20

Page 1 of 15

All Applicants - Identification Numbers

1 . Identification Numbers:

Federal Employer Identification Number (FEIN): __ __ __ __ __ __ __ __ __

You must provide your FEIN before you can register for Reemployment Tax. If you are not required by the Internal Revenue Service to obtain an FEIN, you must provide your social security number, unless you are not a citizen of the United States.

Social Security Number (SSN): __ __ __ - __ __ - __ __ __ __

If you are not a citizen of the United States and you do not have a social security number, provide your complete Visa number.

Visa Number: __ __ __ __ __ __ __ __

Florida Business Partner Number (if registered): __ __ __ __ __ __ __

(business partner numbers are 4 to 7 digits in length)

Consolidated Sales and Use Tax Filing Number: __ __ - __ __ __ __ __ __ __ __ __ __ - __ (if you file a consolidated sales and use tax return)

County Control Number: __ __ - __ __ __ __ __ __ __ __ __ __ - __

(if you use this number to report tax for the county where your business is located)

2. Reason for Applying (select only one):

Business entity not currently registered

Date of first Florida taxable activity: __/ __/____

mm dd yyyy

All Applicants - Reason for Applying

All Applicants - Reason for Applying

Seasonal All Applicants - Business Ownership Business

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Page 2 of 15

mmdd yyyy

Change the form of business ownership - Effective date: __/ __/ ____

mm dd yyyy

Partnerships - Use partnership name or last name of general partners

Legal name of business:

Business trade name "doing business as" if you have one:

Physical Address: Provide the street address of the business location or Florida rental property - Do not use PO Box or Rural Route Numbers.

#:ext:

City / State / ZIP: Fax #:

Mailing Address: Provide the name and mailing address where tax returns and other correspondence for your business are to be mailed.

City / State / ZIP:

C Corporation

S Corporation

7. If you are a sole proprietor, provide the following information:

mm dd

Sole Proprietors

Legal Name (first name, middle initial, last name):

Home address:

City / State / ZIP:

SSN: __ __ __ - __ __ - __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

Telephone #: Check if # is outside U.S.

#:ext:

Business Owners and Managers

Name:

Home address:

City / State / ZIP:

Name:

Home address:

City / State / ZIP:

Name:

Home address:

City / State / ZIP:

Name:

Home address:

City / State / ZIP:

Title:

SSN: __ __ __ - __ __ - __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

or FEIN: __ __ -__ __ __ __ __ __ __

Telephone #: Check if # is outside U.S.

#:ext: Title:

SSN: __ __ __ - __ __ - __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

#:ext:

Title:

SSN: __ __ __ - __ __ - __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

#:ext:

Title:

SSN: __ __ __ - __ __ - __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

#:ext:

Name:

Home address:

City / State / ZIP:

Title:

Last 4 Digits of Social Security Number: __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

Business Owners and Managers

Name:

Home address:

City / State / ZIP:

Name:

Home address:

City / State / ZIP:

Name:

Home address:

City / State / ZIP:

10. Background:

Title:

Last 4 Digits of Social Security Number: __ __ __ __

or Visa #:__ __ __ __ __ __ __ __

Last 4 Digits of Social Security Number: __ __ __ __

Last 4 Digits of Social Security Number: __ __ __ __

If you do not know your NAICS code(s), go to http://www.census.gov/eos/www/naics/index.html. Enter a keyword to search the most recent NAICS list.

All Applicants - Business Activities

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Describe the primary nature of your business and type(s) of products or services to be sold.

Business Changes and Acquisitions

12.Change in Form of Business Ownership or Acquired Business

If your form of business ownership has changed (e.g., sole proprietorship to a corporation or partnership to a limited liability company), or you acquired an existing business, provide the following for your prior form of ownership or for the acquired business:

You must also submit a completed Report to Determine Succession and Application for Transfer of Experience Rating Records

(Form RTS-1S) within 90 days after the date of transfer when:

You acquired an existing business in whole or in part, and

There was no common ownership, management or control between your business and the acquired business at the time of transfer.

Sales and Use Tax

13.For each of the business activities below, select all that apply to this location:

Sales, Rentals, or Repairs of Products

Sell products at retail (to consumers)

Sell products at wholesale (to registered dealers who will sell to consumers)

Sell products or goods from nonpermanent locations (such as flea markets or craft shows)

Sell products or goods by mail using catalogs or the internet

Sell, serve, or prepare food products or drinks for immediate consumption on your premises, or that you package or wrap for take-out or to go, from a temporary or permanent location

Repair or alter consumer products or equipment

Rent equipment or other property or goods to individuals or businesses Charge admissions or membership fees

Property Rentals, Leases, or Licenses

Rent or lease commercial real property to individuals or businesses

Manage commercial real property for individuals or businesses

Rent or lease living or sleeping accommodations to others for periods of six months or less

Manage the rental or leasing of living or sleeping accommodations belonging to others

Rent or lease parking or storage spaces for motor vehicles in parking lots or garages

Rent or lease docking or storage spaces for boats in boat docks or marinas

Rent or lease tie-down or storage spaces for aircraft at airports

Sales and Use Tax

Real Property Contractors

Improve real property as a contractor

Sell products at retail (to consumers)

Construct, assemble, or fabricate building components at your plant or shop away from a project site that are used in your real property improvement projects

Purchase products or supplies from vendors located outside Florida for use in Florida real property improvement projects

Services

Pest control services for nonresidential buildings

Interior cleaning services for nonresidential buildings

Detective services

Protection services

Security alarm system monitoring services

Fuel

Sell tax paid gasoline, diesel fuel, or aviation fuel to retail dealers or end users in Florida (select all that apply below):

Gas station only

Gas station and convenience store

Truck stop

Marine fueling

Aircraft fueling

Reseller of fuel in bulk quantities Purchase dyed diesel fuel for off-road purposes

Secondhand Goods or Scrap Metal

Purchase, consign, trade, or sell secondhand goods

Purchase, gather, obtain, or sell salvage or scrap metal to be recycled or convert ferrous or nonferrous metals into raw material products

If you select either of these activities, you must also submit a Registration Application for Secondhand Dealers and Secondary Metals Recyclers (Form DR-1S).

Coin-Operated Amusement Machines

Place and operate coin-operated amusement machines at locations belonging to others Operate coin-operated amusement machines at this location (select all that apply below):

Self-operate some or all the amusement machines at this location (no other machine operator used)

Have entered into a written agreement with the following person or business to operate some or all the machines at this location.

Name:

Mailing address:

City / State / ZIP:

Telephone #: Check if # is outside U.S.

#:ext:

Sales and Use Tax (continued)

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E911 Fee

If yes, select the box that describes your sales:

Domestic or international long distance calling or phone cards (non-wireless)

Prepaid wireless services (cards, plans, devices) that provide access to wireless networks and interaction with 911 emergency services

Gross Receipts Tax on Dry-cleaning

No

No

No

Reemployment Tax

For purposes of reemployment tax, employees include officers of a corporation and members of a limited liability company classified as a corporation for federal tax purposes who perform services for the corporation or limited liability company and receive payment for such services (salary or distributions).

In addition to registering for Reemployment Tax:

New Florida employers must register with the Florida New Hire Reporting Center to report newly hired and re-hired employees in Florida at servicesforemployers.floridarevenue.com.

Florida employers are required to obtain appropriate workers' compensation insurance coverage for their employees. Visit www.myfloridacfo.com/division/wc/.

Reemployment Tax (continued)

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Reemployment Tax

Regular employer

Nonprofit organization [must hold a 501(c)(3) determination letter from the Internal Revenue Service]

25.Select one category for your employment:

Domestic employer [employer of persons performing only domestic (household) services (e.g., maid or cook)]

Indian tribe or Tribal unit

Governmental entity

Agricultural (noncitrus) employer

Agricultural (citrus) employer Agricultural crew chief

Reemployment Tax (continued)

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Reemployment Tax

27.Payroll Agent Information. If you will use a payroll agent (such as an accountant or bookkeeper) or firm that will maintain your payroll information, provide the following:

Name of payroll agent or firm:

Reemployment Tax (continued)

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Reemployment Tax

28.Mailing Addresses for Reemployment Tax. To receive correspondence about reemployment tax reporting, tax rates, and benefits paid, select the appropriate mailing address for each type of correspondence below.

Other Address for Reporting Forms and Information

City / State / ZIP:

Email address:

Communications Services Tax

29. Do you sell communications services; purchase communications services to integrate into prepaid calling arrangements;

If yes, select each service you sell.

If yes, you must also submit an Application for Self-Accrual Authority/Direct Pay Permit (Form DR-700030).