How Florida Form Apply For Homestead Exemption Details

Are you familiar with the FL DR 1 form? If not, you should become familiar with it as soon as possible. This form is used to report payments made to physicians and other health care providers. It's important to understand how this form works in order to ensure that you're reporting all of your payments correctly. In this blog post, we'll discuss some of the basics of the FL DR 1 form.

Here is some information that might be beneficial in case you are seeking to learn how long it will take you to fill out fl dr 1 form and the number of PDF pages it contains.

QuestionAnswer
Form NameFl Dr 1 Form
Form Length15 pages
Fillable?Yes
Fillable fields211
Avg. time to fill out22 min 58 sec
Other namesfloridarevenue com taxes registration, florida business tax application dr 1, dr florida, florida tax application

Form Preview Example

Florida Business Tax Application

Register online at floridarevenue.com/taxes/registration. It's fast and secure.

DR-1

R. 03/20

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

Effective 03/20

Page 1 of 15

ALL information provided as a part of this application is held confidential by the Florida Department of Revenue. Social security numbers are used by the Florida Department of Revenue as unique identifiers for the administration of Florida's taxes. Social security numbers obtained for tax administration purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public records. Collection of your social security number is authorized under state and federal law. Visit the Department's website at floridarevenue.com/privacy for more information regarding the state and federal law governing the collection, use, or release of social security numbers, including authorized exceptions.

Use Black or Blue Ink to Complete This Application

Business Information

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

Additional Florida location for

Sales and use tax for this location will be reported using my current:

currently registered business

(select all that apply)

 

Date of first taxable activity: __/ __/ ____

consolidated return

county control reporting number

 

mm dd yyyy

 

 

Additional Florida rental property for

Sales and use tax for this location will be reported using my current:

currently registered business

(select all that apply)

 

Date of first taxable activity: __/ __/ ____

consolidated return

county control reporting number

 

mm dd yyyy

 

 

Moved registered Florida location to

Current sales and use tax certificate number for location

another Florida county -

____ -_____________________ -__

Effective date:

__/ __/ ____

(this number will be cancelled)

 

 

mm dd yyyy

Sales and use tax for this location will be reported using my current

 

 

(select all that apply)

 

 

 

consolidated return

county control reporting number

 

 

 

 

All Applicants - Reason for Applying

Seasonal All Applicants - Business Ownership Business

DR-1

R. 03/20

Page 2 of 15

Starting a new taxable activity at a

 

registered location -

 

Current sales and use tax certificate number for location

Effective date:

__/ __/____

__ __ - __ __ __ __ __ __ __ __ __ __ - __

mmdd yyyy

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

mm dd yyyy

 

Acquired existing business -

 

 

 

Effective date:

__/ __/ ____

 

 

 

mm dd yyyy

 

 

 

 

3. Business Name, Location, and Mailing Address:

Others - Use name filed with the Florida Department of State or

Sole proprietors - Use last name, first name, middle initial

similar agency in another state

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.

 

 

 

 

Street address:

Florida County:

Telephone #:

Check if # is outside U.S.

#: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.

Mail to:

Mailing Address (if different than business location address):

City / State / ZIP:

4. Is this business location only open during a portion of a calendar year?

Yes

No

If yes, provide the:

 

 

 

 

 

First calendar month this business location is open:

 

; and the

 

 

Last calendar month this business location is open:

 

.

 

 

5. Form of Business Ownership: (select only one form of ownership)

 

 

Sole Proprietor (individual owner)

Limited liability company (LLC)

Estate

 

Partnership (select one below):

(select one below):

Trust

 

Married couple

 

Single member

Business

General partnership

 

Multi-member

Other

 

Limited liability partnership (LLP)

If single member,select the box that

Governmental agency

Limited partnership (LP)

applies to how your LLC is treated for

 

 

Joint venture

federal income tax.

 

 

Corporation (select one below):

 

C Corporation

 

 

C Corporation

 

S Corporation

 

 

S Corporation

 

Disregarded (reported by single member)

 

 

Not-for-profit

If multi-member, select the box that applies

 

 

Foreign corporation

to how your LLC is treated for federal

 

 

 

income tax.

 

 

 

 

Partnership

 

 

C Corporation

S Corporation

DR-1

R. 03/20

Page 3 of 15

6. If your business is a partnership, corporation, limited liability company, or trust, provide the following information:

Date of Florida incorporation or organization,

or date of authorization to conduct business at this location in Florida: __ /__/ ____

mm dd yyyy

Fiscal year ending date (This date is generally "12/31"; however

a business may elect a different fiscal year):___/___

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:

8.If your business is a partnership (including married couples), provide the following information for each general partner: (Attach additional pages, if needed.)

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 #:__ __ __ __ __ __ __ __

or FEIN:

__ __ -__ __ __ __ __ __ __

 

 

Telephone #:

Check if # is outside U.S.

#:ext:

Title:

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

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

or FEIN:

__ __ -__ __ __ __ __ __ __

 

 

Telephone #:

Check if # is outside U.S.

#:ext:

Title:

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

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

or FEIN:

__ __ -__ __ __ __ __ __ __

 

 

Telephone #:

Check if # is outside U.S.

#:ext:

DR-1

R. 03/20

Page 4 of 15

9.If your business is a corporation, limited liability company, or trust, provide the following information for each director, officer, managing member, grantor, personal representative, or trustee of the business entity:

(Attach additional pages, if needed.)

Name:

Home address:

City / State / ZIP:

Title:

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

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

or FEIN:

__ __ -__ __ __ __ __ __ __

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:

10. Background:

Title:

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

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

or FEIN:

__ __ -__ __ __ __ __ __ __

 

Telephone #:

Check if # is outside U.S.

#:

 

 

ext:

 

 

 

 

 

 

Title:

 

 

 

 

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

or Visa #:__ __

__ __ __ __ __ __

 

 

or FEIN:

__ __ -__ __ __ __ __ __ __

 

 

Telephone #:

Check if # is outside U.S.

 

#:

 

 

ext:

 

 

 

 

 

 

 

Title:

 

 

 

 

 

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

or Visa #:__ __

__ __ __ __ __ __

 

 

or FEIN:

__ __ -__ __ __ __ __ __ __

 

 

Telephone #:

Check if # is outside U.S.

 

#:

 

 

ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicants

Background

All Applicants -

Business Activities

 

Has your business ever been known

 

 

Name:

 

 

 

by another name?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Was that business issued a Florida certificate

 

 

Number:

 

 

 

of registration or tax account number?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

11. Business Activities:

 

 

Primary code

 

 

 

Enter the six-digit North American Industry Classification

 

 

 

System (NAICS) code(s) that best describes your

__ __ __ __ __ __

__ __ __ __ __ __

 

 

business activities at this location. Enter your primary

__ __ __ __ __ __

__ __ __ __ __ __

 

 

code first. (Enter at least one.)

 

 

 

 

 

__ __ __ __ __ __

__ __ __ __ __ __

 

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

DR-1

R. 03/20

Page 5 of 15

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:

Name:

 

 

 

FEIN:

 

 

 

 

 

 

 

Address:

 

 

 

Florida certificate or tax account number:

 

 

 

 

 

 

City / State / ZIP:

 

 

 

If acquired, portion acquired:

 

 

 

 

 

All

Part

Unknown

 

 

 

 

Did your business share any common ownership, management, or

 

Did the previous legal entity or acquired business have employees

control with the acquired business at the time of acquisition?

 

at the time of the change or acquisition?

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

Were employees transferred to the new legal entity or new

Date transferred:

 

 

 

business?

 

__ /__ /____

 

 

 

Yes

No

 

 

 

 

 

 

mm dd yyyy

 

 

 

 

 

 

 

 

 

 

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

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

DR-1

R. 03/20

Page 6 of 15

Sales and Use Tax (continued)

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:

If you operate amusement machines at your location or at locations belonging to others, you must also submit an Application for Amusement Machine Certificate (Form DR-18) to obtain an annual Amusement Machine Certificate for each location where you operate amusement machines.

Vending Machines (select all that apply below)

Place and operate vending machines at locations belonging to others: (Select the type or types of vending machines you operate.)

Food or beverage vending machines

Nonfood or nonbeverage vending machines

Operate vending machines at this location:

(Select the type or types of vending machines you operate.)

Food or beverage vending machines Nonfood or nonbeverage vending machines

Sales and Use Tax (continued)

DR-1

R.03/20 Page 7 of 15

 

Purchases

 

 

Purchase items to use in my business without paying Florida sales tax to the seller at the time of purchase (such

Tax

 

as from a seller located outside Florida)

 

Applying for a direct pay permit to self-accrue and remit use tax directly to the Department

Use

 

 

To apply for a permit, submit an Application for Self-Accrual Authority/Direct Pay Permit Sales and Use Tax

 

 

and

 

(Form DR-16A).

 

Applying for authority to remit sales tax to the Department for independent sellers or distributors (see Rule

Sales

 

 

12A-1.0911, Florida Administrative Code, for more information)

 

 

 

 

 

 

 

 

This business does not conduct activities at this location subject to Florida sales and use tax

Prepaid Wireless E911 Fee

E911 Fee

14. Do you sell prepaid phones, phone cards, or calling arrangements at this location?

Yes

No

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

Solid Waste - New Tire Fee, Lead-Acid Battery Fee, and Rental Car Surcharge

WasteSolidFees Surchargeand

15.

Do you sell (at retail) new tires for motorized vehicles at this location that are sold separately or as

Yes

 

part of a vehicle?

 

16.

Do you sell (at retail) new or remanufactured lead-acid batteries at this location that are sold separately

 

 

 

 

 

or as a component part of another product such as new automobiles, golf carts, or boats?

Yes

 

17.

Do you rent, lease, or sell car-sharing membership services at this location for the use of motor vehicles

 

 

that transport fewer than nine passengers?

Yes

Gross Receipts Tax on Dry-cleaning

No

No

No

Cleaning

18.

Do you own or operate a dry-cleaning plant or dry drop-off facility in Florida?

Yes

No

Tax

Registration Package (GT-400401) for fuels and pollutants.

 

 

 

 

If yes, and you import or produce perchloroethylene or other dry-cleaning solvents, you must also complete a

 

Dry-

 

 

 

 

Reemployment Tax

 

 

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/.

19.

Do you have or will you have, employees in Florida?

 

 

Yes

No

20.

Do you, or will you, lease workers from an employee leasing company to work in Florida?

Yes

No

 

If yes, provide the following:

 

 

 

 

 

 

 

 

Name of leasing company:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEIN:

 

Department of Business and Professional Regulation license number:

 

 

 

 

 

 

 

 

 

Portion of workforce that is leased:

 

Date of leasing agreement for workers in Florida:

 

 

 

 

 

All

Part

__ / __

/____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mm dd

yyyy

 

 

 

 

 

 

 

 

 

 

 

 

 

Reemployment Tax (continued)

DR-1

R.03/20 Page 8 of 15

21. Do you use the services of persons in Florida whom you consider to be self-employed, independent contractors other

 

 

than those engaged in a distinct business, occupation, or profession that serves the general public (e.g., plumber,

 

 

general contractor, or certified public accountant)?

Yes

No

If yes, you must also submit a completed Independent Contractor Analysis (Form RTS-6061).

If you answered No to questions 19, 20, and 21, proceed to the Communications Services Tax section. If you answered Yes, continue to the next question.

22. Is your business registered for reemployment tax?

Yes

No

If yes, provide your RT account number: __ __ __ __ __ __ __

 

 

Are you currently reporting wages to the Florida Department of Revenue?

Yes

No

Are you reactivating your reemployment tax account?

Yes

No

23. On what date did you, or will you, first have an employee in Florida? __ / __

/____

 

mm dd

yyyy

 

24. Employment Type (select only one employment type):

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

Regular, Indian tribe or Tribal unit, or Governmental employer

Have you or will you pay gross wages of at least $1,500 within a calendar quarter?

 

Yes

No

If yes, provide the date you reached or will reach $1,500 gross wages.

__ / __

/____

 

 

mm dd

yyyy

 

Have you or will you have one or more employees for a day (or portion of a day) during 20 or more

 

 

 

weeks in a calendar year?

 

Yes

No

If yes, provide the last day of the 20th week.

__ / __

/____

 

 

mm dd

yyyy

 

Nonprofit organization

Have you or will you employ four or more workers for a day (or portion of a day) during 20 or more

 

Yes

No

weeks in a calendar year?

 

 

 

If yes, provide the last day of the 20th week.

__ / __

/____

 

mm dd

yyyy

 

 

 

Domestic employer (Employer whose employees only perform domestic services.)

Have you or will you pay gross wages of at least $1,000 within a calendar quarter?

 

Yes

No

If yes, provide the date you reached or will reach $1,000 gross wages.

__ / __

/____

 

 

mm dd

yyyy

 

Reemployment Tax (continued)

DR-1

R.03/20 Page 9 of 15

 

 

 

Agricultural (noncitrus, citrus, or crew chief) employer

 

 

Have you or will you pay gross wages of at least $10,000 within a calendar quarter?

Yes

No

If yes, provide the date you reached or will reach $10,000 gross wages.

__ / __

/____

 

mm dd

yyyy

Have you or will you have five or more employees for a day (or portion of a day) during 20 or more

 

 

weeks in a calendar year?

Yes

No

If yes, provide the last day of the 20th week.

__ / __

/____

 

mm dd

yyyy

26.List all Florida locations where you have employees. (Attach a separate sheet, if needed.)

Address:

Reemployment Tax

City / State / ZIP:

 

 

 

Number of employees:

 

 

 

 

 

Principal products or services:

If services, indicate if:

 

 

 

 

Administrative

Research

Other

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

City / State / ZIP:

 

 

 

Number of employees:

 

 

 

 

 

Principal products or services:

If services, indicate if:

 

 

 

 

Administrative

Research

Other

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

City / State / ZIP:

 

 

 

Number of employees:

 

 

 

 

 

Principal products or services:

If services, indicate if:

 

 

 

 

Administrative

Research

Other

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

City / State / ZIP:

 

 

 

Number of employees:

 

 

 

 

 

Principal products or services:

If services, indicate if:

 

 

 

 

Administrative

Research

Other

 

 

 

 

 

 

 

 

 

 

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:

Mailing address:

City / State / ZIP:

Reemployment Tax (continued)

DR-1

R.03/20 Page 10 of 15

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.

Reporting Forms and Information

Tax Rate Information

Benefits Paid Information

Employer's Quarterly Reports, Certifications,

Tax Rate Notices

Notice of Benefits Paid

Reporting-related Correspondence:

Related Correspondence:

Related Correspondence:

Business Information (address in the

Business Information (address

Business Information (address in the

the first section of this application)

in the first section of this application)

first section of this application)

Payroll Agent Information (address

Payroll Agent Information

Payroll Agent Information (address

in Question 27)

(address in Question 27)

in Question 27)

Other (enter below)

Other (enter below)

Other (enter below)

Other Address for Reporting Forms and Information

Name:

 

Telephone #:

Ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address:

 

 

 

 

 

 

 

 

 

 

 

 

 

City / State / ZIP:

Email address:

 

 

 

 

 

 

 

 

 

 

 

 

Other Address for Tax Rate Information

 

 

 

 

 

 

 

Name:

 

Telephone #:

Ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address:

City / State / ZIP:

Email address:

Other Address for Benefits Paid Information

Name:

 

Telephone #:

Ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address:

 

 

 

 

 

 

 

 

 

 

 

 

 

City / State / ZIP:

Email address:

 

 

 

 

Communications Services Tax

Communications Services Tax

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

or are you applying for a direct pay permit for communications services tax?

Yes

No

If yes, select each service you sell.

Telephone service (e.g., local, long distance, wireless, or VOIP)

Video service (e.g., television programming or streaming)

Paging service

Direct-to-home satellite service

Facsimile (fax) service (not when providing advertising or

Pay telephone service

professional services)

Purchase services to integrate into prepaid calling arrangements

Reseller (only sales for resale; no sales to retail customers)

 

 

Other services; please describe:

 

 

 

30. Are you applying for a direct pay permit for communications services tax?

Yes

No

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

Communications Services Tax (continued)

DR-1

R.03/20 Page 11 of 15

Communications Services Tax

If you answered No to questions 29 and 30, proceed to the Documentary Stamp Tax section.

If you answered Yes, continue.

If you are a reseller only, sell only pay telephone or direct-to-home satellite services, or only purchase services to integrate into prepaid calling arrangements, go to question 34.

31. To charge the correct amount of tax, you must know the taxing jurisdiction (county and municipality) in which your customers are located. How will you verify the assignment of customer location to the correct taxing jurisdictions? If you use multiple methods, select all that apply.

An electronic database provided by the Department of Revenue Your own database that will be certified by the Department of Revenue

To apply for certification, you must submit an Application for Certification of Communications Services

Database (Form DR-700012).

A database supplied by a vendor. Provide the name of the vendor and product:

Vendor:Product:

ZIP + 4 and a methodology for assignment when the ZIP codes overlap jurisdictions

ZIP + 4 that does not overlap jurisdictions (e.g., a hotel located in one jurisdiction)

None of the above.

The method you use to verify the assignment of a customer location to the correct taxing jurisdictions (county and municipality) for purposes of collecting local communications services tax determines the collection allowance rate that will be assigned to your business. If you change your method of assigning a customer's location to the correct taxing jurisdictions, you must submit a Notification of Method Employed to Determine Taxing Jurisdiction (Form DR-700020) indicating the new method(s). For more information, visit floridarevenue.com/taxes/cst.

32.If you use multiple assignment methods, you may need to file two separate returns to maximize your collection allowances. If you will file separate returns for each assignment method, check the box below.

I will file two separate communications services tax returns, one for each type of assignment method.

33.Name and contact information of the person who can answer questions about communications services tax returns filed with the Department:

Name:

Telephone #:

Ext:

 

 

 

 

 

 

 

 

 

 

 

 

 

Email address:

Documentary Stamp Tax

Documentary Stamp Tax

34. Do you enter into written obligations to pay money with customers at this location that are not recorded with the

 

 

Clerk of the Court or County Comptroller (e.g., financing agreements, title loans, pay-day loans, liens, promissory

Yes

No

notes, or similar documents)?

If yes, do you anticipate executing five or more written obligations to pay money subject to documentary

Yes

No

stamp tax per month?

Gross Receipts Tax on Electrical Power and Gas

Gross Receipts Tax

35. Do you own or operate an electric or natural or manufactured gas (LP gas is excluded) utility distribution

Yes

No

facility in Florida?

 

If yes, select the type of utility facility:

 

 

Electric

Natural or manufactured gas

 

 

36. Do you import natural or manufactured gas (LP gas is excluded) into Florida for your own use?

Yes

No

Severance Taxes and Miami-Dade County Lake Belt Fees

DR-1

R.03/20 Page 12 of 15

Severance Taxes

37.Do you extract oil, gas, sulfur, solid minerals, phosphate rock, lime rock, sand, or heavy minerals from the

soils or waters of Florida?

Yes

No

If yes, select each extraction activity that you will engage in:

 

 

Extracting oil for sale, transport, storage, profit, or commercial use

 

 

Extracting gas for sale, transport, profit, or commercial use

 

 

Extracting sulfur for sale, transport, storage, profit, or commercial use

Extracting solid minerals, phosphate rock, or heavy minerals from the soil or water for commercial use

Extracting lime rock or sand from within the Miami-Dade County Lake Belt Area (see section 373.4149, Florida Statutes, for boundary description)

Enrollment to File and Pay Tax Electronically

Filing and paying electronically is quick, easy, and secure. You can electronically file and pay all taxes, fees and surcharges, except severance taxes and Miami-Dade County Lake Belt fees. For severance taxes and Miami-Dade County Lake Belt fees, payments can be made electronically; however, electronic return filing is not available.

Taxpayers choosing to enroll with the Department to file or pay electronically can take advantage of additional features: an encrypted system that securely saves your contact and bank account information; the ability to view your filing history and bills posted to your tax account; and, the ability to reprint your returns.

If you enroll using this application, you will receive a user ID and password for each tax account created based on the information you provide. Each account will have the same contact, banking, and payment method. After you receive your user ID and password, you may log into each tax account and change the contact, banking, and method of payment information.

File and Pay Electronically

If you choose not to file returns or pay tax electronically, proceed to the

Authorization for Email Communication section.

38.Do you wish to: (select only one)

Enroll for both filing returns and paying tax electronically?

Enroll only to pay tax electronically?

File returns and pay tax electronically without enrolling?

39.If you are enrolling, select only one electronic payment method.

ACH-Debit (e-check) – The Department's bank withdraws a payment from your bank account when you authorize the payment.

ACH-Credit – Your bank transfers a payment to the Department's bank account when you authorize the bank to make the payment. This is not a credit card payment. You are responsible for any costs charged by your bank to use this payment method.

40.Contact Person for Electronic Payments:

Name:

Telephone #:

Ext:

Fax #:

Mailing address:

City / State / ZIP:

 

Email address:

 

 

 

A company employee

A non-related tax preparer

Federal Preparer Tax Identification Number (PTIN):

Payroll agent

 

__ __ __ __ __ __ __ __ __

 

 

 

 

 

Enrollment to File and Pay Tax Electronically (continued)

DR-1

R.03/20 Page 13 of 15

41. Contact Person for Electronic Return Filing (If different than contact person for electronic payments.)

Name:

Telephone #:

Ext:

Fax #:

Mailing address:

City / State / ZIP:

Email address:

File and Pay Electronically

 

A company employee

A non-related tax preparer

Federal Preparer Tax Identification Number (PTIN):

 

 

Payroll agent

 

__ __ __ __ __ __ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

42. Banking Information (not required for ACH-Credit payment method):

 

 

 

 

 

Bank / financial institution name:

 

Account type:

Business

Checking

 

 

 

 

 

Personal

Savings

 

 

 

 

 

 

 

 

Bank account number:

 

Bank Routing Number:

 

 

|: __ __ __ __ __ __ __ __ __ :|

Note: Due to federal security requirements, we cannot process international ACH transactions. If any funding for payments comes from financial institutions located outside the US or its territories, please contact us to make other payment arrangements. If you are unsure, please contact your financial institution.

43.Enrollee Authorization and Agreement:

This is an Agreement between the Florida Department of Revenue, hereinafter "the Department," and the business entity named herein, hereinafter "the Enrollee," entered into according to the provisions of the Florida Statutes and the Florida Administrative Code.

By completing this agreement and submitting this enrollment request, the Enrollee applies and is hereby authorized by the Department to file tax returns and reports, make tax and fee payments, and transmit remittances to the Department electronically. This agreement represents the entire understanding of the parties in relation to the electronic filing of returns, reports, and remittances.

The same statute and rule sections that pertain to all paper documents filed or payments made by the Enrollee also govern an electronic return, or payment initiated electronically according to this agreement.

I certify that I am authorized to sign on behalf of the business entity identified herein, and that all information provided in this section has been personally reviewed by me and the facts stated in it are true. According to the payment method selected above, I hereby authorize the Department to present debit entries into the bank account referenced above at the depository designated herein (ACH-Debit), or I am authorized to register for the ACH-Credit payment privilege and accept all responsibility for the filing of payments through the ACH-Credit method.

Printed name:

Signature: ___________________________________

Title:

 

 

 

Date:

 

 

Printed name:

 

 

 

 

 

 

 

 

 

 

Signature: ___________________________________

Title:

 

 

 

Date:

 

 

(If account requires two signatures)

 

 

 

 

 

 

 

 

 

Authorization for Email Communication

DR-1 R. 03/20 Page 14 of 15

Your privacy is important to the Department of Revenue. The Department will mail information regarding this application to you. If you wish to receive the information in an email, a written request from you is required. This request allows the Department to send information using its secure email software. This software requires additional steps before you can access the information.

Communication

 

Complete this section to receive information about this application by secure email.

 

 

 

 

 

 

 

 

 

I authorize the Department to send information regarding this Florida Business Tax Application using the Florida Department

 

 

 

 

of Revenue's secure email. I understand that this method requires additional steps to view the information provided.

 

Provide the name and contact information of the person who can respond to questions about this Application.

 

 

 

 

Email

 

 

 

 

 

 

 

 

Name:

 

Telephone #:

Check if # is outside U.S.

 

 

 

 

 

 

 

 

#:

 

 

ext:

 

 

 

 

 

 

 

 

 

 

Email address:

 

 

 

 

 

 

Applicant Declaration and Signature

Applicant Declaration and Signature

I understand that any person who is required to collect, truthfully account for, and pay any tax, fee, or surcharge, and willfully fails to do so, or any officer or director of a corporation who directs any employee of the corporation to do so, is personally liable for the tax, fee, or surcharge evaded, not accounted for, or paid to the Florida Department of Revenue, plus a penalty equal to twice the amount of the tax, fee, or surcharge due that is evaded, not accounted for, or paid. (Section 213.29, Florida Statutes.)

I understand that, in addition to any other civil penalties provided by law, it is a criminal offense to fail or refuse to collect a required tax, fee, or surcharge; to fail to timely file a tax, fee, or surcharge return; to underreport a tax, fee, or surcharge liability on a return; or to give a worthless check, draft, debit card order, or other order on a bank to transfer funds to the Florida Department of Revenue.

I understand that I must notify the Florida Department of Revenue of any change in the form of ownership of this business or a change in business activities, location, mailing address, or contact information for this business.

I certify that I am authorized by _________________________________ (Officer/Director) to execute this application. I understand that I

will be creating a tax account that may result in the responsibility to file returns and to pay a tax, surtax, fee, or surcharge to the Florida Department of Revenue.

Under penalties of perjury, I declare that I have read the foregoing Florida Business Tax Application and that the facts stated in it are true.

Printed name:

 

Title:

 

 

 

Signature:________________________________________________________ Date:

Before you submit your completed application

Have you:

Provided your business identification numbers? Completed all sections of this application? Signed and dated this application? Included all additional applications, if required?

Mail to: Account Management MS 1-5730

Florida Department of Revenue

5050 W Tennessee St

Tallahassee FL 32399-0160

DR-1

R. 03/20

Page 15 of 15

Contact Us

You may also bring your completed application to your nearest taxpayer service center. To find a taxpayer service

center near you, visit floridarevenue.com/taxes/servicecenters.

Information, forms, and tutorials are available on the Department's

website at floridarevenue.com.

For written replies to tax questions, write to: Taxpayer Services MS 3-2000 Florida Department of Revenue 5050 W Tennessee St Tallahassee FL 32399-0112

To speak with a Department representative, call Taxpayer Services at 850-488-6800, Monday through Friday, excluding holidays.

Subscribe to Receive Updates by Email

Visit floridarevenue.com/dor/subscribe to sign up to receive an email when the Department posts:

Tax Information Publications (TIPs)

Proposed rules, including notices of rule development workshops and emergency rulemaking

Due date reminders for reemployment tax and sales and use tax

References

The following documents were mentioned in this form and are incorporated by reference in the rules indicated below.

The forms are available online at floridarevenue.com/forms.

Form RTS-1S

Report to Determine Succession and Application For Transfer of

Rule 73B-10.037, F.A.C.

 

Experience Rating Records

 

Form DR-1S

Registration Application for Secondhand Dealers and Secondary

Rule 12A-17.005, F.A.C.

 

Metals Recyclers

 

Form DR-18

Application for Amusement Machine Certificate

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

Form DR-16A

Application for Self-Accrual Authority/Direct Pay Permit Sales

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

 

and Use Tax

 

GT-400401

Registration Package for Motor Fuel and/or Pollutants,

 

 

includes the following forms:

 

Form DR-156

Florida Fuel or Pollutants Tax Application

Rule 12B-5.150, F.A.C.

Form DR-600

Enrollment and Authorization for e-Services

Rule 12-24.011, F.A.C.

Form DR-157W

Bond Worksheet Instructions

Rule 12B-5.150, F.A.C.

Form DR-157

Fuel or Pollutants Tax Surety Bond

Rule 12B-5.150, F.A.C.

Form DR-157A

Assignment of Time Deposit

Rule 12B-5.150, F.A.C.

Form DR-157B

Fuel or Pollutants Tax Cash Bond

Rule 12B-5.150, F.A.C.

Form RTS-6061

Independent Contractor Analysis

Rule 73B-10.037, F.A.C.

Form DR-700030

Application for Self-Accrual Authority/Direct Pay Permit

Rule 12A-19.100, F.A.C.

Form DR-700012

Application for Certification of Communications Services Database

Rule 12A-19.100, F.A.C.

Form DR-700020

Notification of Method Employed to Determine Taxing Jurisdiction

Rule 12A-19.100, F.A.C.

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