Form Dr 700016 PDF Details

The IRS has released a new form, Form 700016, that provides instructions for requesting an extension of time to file a return. This form is available to taxpayers who are unable to file their returns by the due date. The extension will give taxpayers an additional six months to file their returns. Taxpayers who need more time to file their returns can request an extension using Form 700016. This form is available on the IRS website, and can be downloaded and printed out. The deadline to request an extension is the due date of the return, which is typically April 15th for individual taxpayers. Taxpayers who need more time to file their tax return should use Form 700016 to request an extension of time from the IRS. This form is available on the IRS website, and can be downloaded and printed out. The deadline to request an extension is typically April 15th for individual taxpayers.

QuestionAnswer
Form NameForm Dr 700016
Form Length24 pages
Fillable?No
Fillable fields0
Avg. time to fill out6 min
Other namesdr700016_0111 700016 form

Form Preview Example

 

 

DR-700016

 

Florida Communications

 

R. 01/11

 

Services tax Return

 

 

 

 

 

 

 

 

Name

 

Address

 

 

 

 

 

 

 

BUSINeSS PARtNeR NUMBeR

 

 

 

 

 

 

 

 

 

FeIN

 

 

 

 

City/State/ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check here if you are discontinuing your business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and this is your inal return (see page 15).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RePoRtING PeRIoD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FROM:

 

TO:

 

 

 

Handwritten Example

 

 

 

 

 

 

Typed Example

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0

1

2

3

4

5

6

7

8

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Use black ink.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M M D D Y

 

Y Y Y

 

M M D D

 

 

Y Y Y Y

 

 

 

 

 

 

 

 

 

 

 

 

 

US Dollars

 

 

 

 

 

 

 

Cents

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

Tax due on sales subject to 6.65% state and .15% gross receipts portions

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of communications services tax (from Summary of Schedule I, Line 3)

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

Tax due on sales subject to 2.37% gross receipts portion of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

communications services tax (from Summary of Schedule I, Line 6)

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

Tax due on sales subject to local portion of communications

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

services tax (from Summary of Schedule I, Line 7)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

Tax due for direct-to-home satellite services (from Schedule II, Column C) 4.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

Total communications services tax (add Lines 1 through 4)

5.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

Collection allowance. Rate:________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If rate above is blank, check one) None applies .0025 .0075

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

Net communications services tax due (subtract Line 6 from Line 5)

7.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

Penalty

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

Interest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

 

Adjustments (from Schedule III, Column G and/or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check here

 

 

 

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule IV, Column U)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

if negative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

 

Multistate credits (from Schedule V)

...........................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

Amount due with return

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUthoRIZAtIoN

 

Under penalties of perjury, I declare that I have read this return and that the facts stated in it are true [ss. 92.525(2), 202.27(5), and 837.06, Florida Statutes].

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type or print name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preparer (type or print name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Preparer’s signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact name (type or print name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact phone number

 

 

 

 

 

 

 

 

 

 

 

Contact e-mail address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment Coupon

 

 

Do Not DetACh

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DR-700016

 

 

 

 

 

To ensure proper credit to your account, attach your check to

 

 

 

 

 

 

 

 

 

 

 

R. 01/11

 

 

 

 

 

this payment coupon. Mail with tax return and all schedules.

 

 

 

 

DoR USe oNLy

 

 

 

 

 

 

 

 

Business Partner Number

Reporting Period

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

postmark or hand delivery date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check here if your address or business information

 

 

 

 

 

 

 

 

 

 

 

changed and enter changes below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New location address: ___________________________________________

 

 

 

 

 

 

 

________________________________________________________________

 

 

 

 

 

 

 

________________________________________________________________

 

 

 

 

 

 

 

 

 

 

Telephone number: (______)_______________________________________

 

 

 

 

 

 

 

 

 

 

New mailing address: ____________________________________________

 

 

 

 

 

 

 

________________________________________________________________

 

 

 

Check here if payment was transmitted electronically.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount due

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Payment is due on the 1st and LAte

 

 

 

 

 

 

from Line 12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

if postmarked or hand delivered after

9100 0 99999999 0063004031 7 3999999999 0000 2

DR-700016

R. 01/11

Page 2

Rule 12A-19.100

Florida Administrative Code

effective 02/11

Where to send payments and returns

Make check payable to and send with return to:

FLORIDA DEPARTMENT OF REVENUE PO BOX 6520

TALLAHASSEE FL 32314-6520 or

File online via our Internet site at www.mylorida.com/dor

File electronically . . .

it’s easy!

The Department maintains a free and secure Internet site to ile and pay communications services tax. To enroll, go to the Department’s Internet site at:

www.mylorida.com/dor

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 3

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALACHUA

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0710

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alachua

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Archer

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gainesville

 

 

0.0577

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hawthorne

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

High Springs

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

La Crosse

 

 

0.0362

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Micanopy

 

 

0.0530

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Newberry

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Waldo

 

 

0.0542

 

 

 

 

 

BAKER

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0234

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Glen St. Mary

 

 

0.0580

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Macclenny

 

 

0.0652

 

 

 

 

 

BAY

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0214

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Callaway

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lynn Haven

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mexico Beach

 

 

0.0318

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Panama City

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Panama City Beach

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parker

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Springield

 

 

0.0552

 

 

 

 

 

BRADFORD

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0124

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Brooker

 

 

0.0360

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hampton

 

 

0.0280

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lawtey

 

 

0.0170

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Starke

 

 

0.0582

 

 

 

 

 

BREVARD

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cape Canaveral

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cocoa

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cocoa Beach

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grant-Valkaria

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indialantic

 

 

0.0620

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indian Harbour Beach

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Malabar

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Melbourne

 

 

0.0593

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Melbourne Beach

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Melbourne Village

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Palm Bay

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Palm Shores

 

 

0.0480

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rockledge

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Satellite Beach

 

 

0.0522

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Titusville

 

 

0.0542

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

West Melbourne

 

 

0.0552

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGe totAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 4

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BROWARD

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0522

 

 

 

 

 

Coconut Creek

 

 

0.0522

 

 

 

 

 

Cooper City

 

 

0.0480

 

 

 

 

 

Coral Springs

 

 

0.0522

 

 

 

 

 

Dania Beach

 

 

0.0532

 

 

 

 

 

Davie

 

 

0.0520

 

 

 

 

 

Deerield Beach

 

 

0.0522

 

 

 

 

 

Fort Lauderdale

 

 

0.0522

 

 

 

 

 

Hallandale Beach

 

 

0.0522

 

 

 

 

 

Hillsboro Beach

 

 

0.0120

 

 

 

 

 

Hollywood

 

 

0.0522

 

 

 

 

 

Lauderdale Lakes

 

 

0.0532

 

 

 

 

 

Lauderdale-by-the-Sea

 

 

0.0522

 

 

 

 

 

Lauderhill

 

 

0.0522

 

 

 

 

 

Lazy Lake

 

 

0.0060

 

 

 

 

 

Lighthouse Point

 

 

0.0622

 

 

 

 

 

Margate

 

 

0.0532

 

 

 

 

 

Miramar

 

 

0.0522

 

 

 

 

 

North Lauderdale

 

 

0.0522

 

 

 

 

 

Oakland Park

 

 

0.0542

 

 

 

 

 

Parkland

 

 

0.0522

 

 

 

 

 

Pembroke Park

 

 

0.0522

 

 

 

 

 

Pembroke Pines

 

 

0.0542

 

 

 

 

 

Plantation

 

 

0.0522

 

 

 

 

 

Pompano Beach

 

 

0.0522

 

 

 

 

 

Sea Ranch Lakes

 

 

0.0522

 

 

 

 

 

Southwest Ranches

 

 

0.0522

 

 

 

 

 

Sunrise

 

 

0.0522

 

 

 

 

 

Tamarac

 

 

0.0522

 

 

 

 

 

West Park

 

 

0.0522

 

 

 

 

 

Weston

 

 

0.0522

 

 

 

 

 

Wilton Manors

 

 

0.0562

 

 

 

 

 

CALHOUN

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0264

 

 

 

 

 

Altha

 

 

0.0602

 

 

 

 

 

Blountstown

 

 

0.0602

 

 

 

 

 

CHARLOTTE

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0582

 

 

 

 

 

Punta Gorda

 

 

0.0582

 

 

 

 

 

CITRUS

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0224

 

 

 

 

 

Crystal River

 

 

0.0522

 

 

 

 

 

Inverness

 

 

0.0532

 

 

 

 

 

 

 

 

 

 

 

 

PAGe totAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 5

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLAY

 

Unincorporated area

0.0652

Green Cove Springs

0.0582

Keystone Heights

0.0582

Orange Park

0.0582

Penney Farms

0.0582

COLLIER

 

Unincorporated area

0.0210

Everglades City

0.0390

Marco Island

0.0522

Naples

0.0522

COLUMBIA

 

Unincorporated area

0.0190

Fort White

0.0120

Lake City

0.0582

DESOTO

 

Unincorporated area

0.0294

Arcadia

0.0582

DIXIE

 

Unincorporated area

0.0234

Cross City

0.0300

Horseshoe Beach

0.0670

DUVAL

 

Atlantic Beach

0.0582

Baldwin

0.0682

Jacksonville Beach

0.0582

Jax Duval (City of Jacksonville)

0.0582

Neptune Beach

0.0582

ESCAMBIA

 

Unincorporated area

0.0274

Century

0.0300

Pensacola

0.0612

FLAGLER

 

Unincorporated area

0.0254

Beverly Beach

0.0580

Bunnell

0.0645

Flagler Beach

0.0580

Marineland

0.0110

Palm Coast

0.0592

FRANKLIN

 

Unincorporated area

0.0150

Apalachicola

0.0420

Carrabelle

0.0642

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 6

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GADSDEN

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0264

 

 

 

 

 

Chattahoochee

 

 

0.0602

 

 

 

 

 

Greensboro

 

 

0.0592

 

 

 

 

 

Gretna

 

 

0.0482

 

 

 

 

 

Havana

 

 

0.0602

 

 

 

 

 

Midway

 

 

0.0450

 

 

 

 

 

Quincy

 

 

0.0602

 

 

 

 

 

GILCHRIST

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0234

 

 

 

 

 

Bell

 

 

0.0500

 

 

 

 

 

Fanning Springs

 

 

0.0612

 

 

 

 

 

Trenton

 

 

0.0572

 

 

 

 

 

GLADES

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Moore Haven

 

 

0.0180

 

 

 

 

 

GULF

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0234

 

 

 

 

 

Port St. Joe

 

 

0.0572

 

 

 

 

 

Wewahitchka

 

 

0.0572

 

 

 

 

 

HAMILTON

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0090

 

 

 

 

 

Jasper

 

 

0.0540

 

 

 

 

 

Jennings

 

 

0.0570

 

 

 

 

 

White Springs

 

 

0.0560

 

 

 

 

 

HARDEE

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0184

 

 

 

 

 

Bowling Green

 

 

0.0382

 

 

 

 

 

Wauchula

 

 

0.0560

 

 

 

 

 

Zolfo Springs

 

 

0.0282

 

 

 

 

 

HENDRY

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Clewiston

 

 

0.0582

 

 

 

 

 

La Belle

 

 

0.0482

 

 

 

 

 

HERNANDO

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0170

 

 

 

 

 

Brooksville

 

 

0.0552

 

 

 

 

 

Weeki Wachee

 

 

0.0040

 

 

 

 

 

HIGHLANDS

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Avon Park

 

 

0.0582

 

 

 

 

 

Lake Placid

 

 

0.0582

 

 

 

 

 

Sebring

 

 

0.0582

 

 

 

 

 

 

 

 

 

 

 

 

PAGe totAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 7

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HILLSBOROUGH

 

Unincorporated area

0.0460

Plant City

0.0632

Tampa

0.0582

Temple Terrace

0.0600

HOLMES

 

Unincorporated area

0.0244

Bonifay

0.0642

Esto

0.0140

Noma

0.0070

Ponce De Leon

0.0330

Westville

0.0150

INDIAN RIVER

 

Unincorporated area

0.0244

Fellsmere

0.0582

Indian River Shores

0.0582

Orchid

0.0270

Sebastian

0.0582

Vero Beach

0.0572

JACKSON

 

Unincorporated area

0.0254

Alford

0.0220

Bascom

0.0202

Campbellton

0.0592

Cottondale

0.0592

Graceville

0.0592

Grand Ridge

0.0592

Greenwood

0.0592

Jacob City

0.0592

Malone

0.0592

Marianna

0.0592

Sneads

0.0400

JEFFERSON

 

Unincorporated area

0.0164

Monticello

0.0500

LAFAYETTE

 

Unincorporated area

0.0234

Mayo

0.0250

LAKE

 

Unincorporated area

0.0254

Astatula

0.0500

Clermont

0.0582

Eustis

0.0582

Fruitland Park

0.0582

Groveland

0.0582

Howey-in-the-Hills

0.0582

Lady Lake

0.0582

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 8

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAKE - continued

 

 

 

 

 

 

 

 

Leesburg

 

 

0.0582

 

 

 

 

 

Mascotte

 

 

0.0582

 

 

 

 

 

Minneola

 

 

0.0582

 

 

 

 

 

Montverde

 

 

0.0570

 

 

 

 

 

Mount Dora

 

 

0.0582

 

 

 

 

 

Tavares

 

 

0.0592

 

 

 

 

 

Umatilla

 

 

0.0582

 

 

 

 

 

LEE

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0361

 

 

 

 

 

Bonita Springs

 

 

0.0182

 

 

 

 

 

Cape Coral

 

 

0.0522

 

 

 

 

 

Fort Myers

 

 

0.0522

 

 

 

 

 

Fort Myers Beach

 

 

0.0522

 

 

 

 

 

Sanibel

 

 

0.0522

 

 

 

 

 

LEON

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0602

 

 

 

 

 

Tallahassee

 

 

0.0690

 

 

 

 

 

LEVY

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0234

 

 

 

 

 

Bronson

 

 

0.0300

 

 

 

 

 

Cedar Key

 

 

0.0260

 

 

 

 

 

Chieland

 

 

0.0572

 

 

 

 

 

Fanning Springs

 

 

0.0612

 

 

 

 

 

Inglis

 

 

0.0572

 

 

 

 

 

Otter Creek

 

 

0.0120

 

 

 

 

 

Williston

 

 

0.0572

 

 

 

 

 

Yankeetown

 

 

0.0622

 

 

 

 

 

LIBERTY

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0120

 

 

 

 

 

Bristol

 

 

0.0582

 

 

 

 

 

MADISON

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0264

 

 

 

 

 

Greenville

 

 

0.0542

 

 

 

 

 

Lee

 

 

0.0602

 

 

 

 

 

Madison

 

 

0.0602

 

 

 

 

 

MANATEE

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

 

0.0214

 

 

 

 

 

Anna Maria

 

 

0.0552

 

 

 

 

 

Bradenton

 

 

0.0602

 

 

 

 

 

Bradenton Beach

 

 

0.0602

 

 

 

 

 

Holmes Beach

 

 

0.0552

 

 

 

 

 

Longboat Key

 

 

0.0552

 

 

 

 

Palmetto

0.0572

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 9

Schedule I - State, Gross Receipts, and Local taxes Due

 

Business name

 

 

Business partner number

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

e. Local tax due

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

gross receipts tax

tax and local tax

 

 

MARION

 

 

 

 

Unincorporated area

 

 

0.01735

 

Belleview

 

 

0.0512

 

Dunnellon

 

 

0.0522

 

McIntosh

 

 

0.0130

 

Ocala

 

 

0.0522

 

Reddick

 

 

0.0130

 

MARTIN

 

 

 

 

Unincorporated area

 

 

0.0214

 

Jupiter Island

 

 

0.0552

 

Ocean Breeze Park

 

 

0.0250

 

Sewalls Point

 

 

0.0342

 

Stuart

 

 

0.0552

 

MIAMI-DADE

 

 

 

 

Unincorporated area

 

 

0.0572

 

Aventura

 

 

0.0570

 

Bal Harbour Village

 

 

0.0572

 

Bay Harbour Islands

 

 

0.0572

 

Biscayne Park

 

 

0.0572

 

Coral Gables

 

 

0.0572

 

Cutler Bay

 

 

0.0572

 

Doral

 

 

0.0572

 

El Portal

 

 

0.0610

 

Florida City

 

 

0.0592

 

Golden Beach

 

 

0.0262

 

Hialeah

 

 

0.0637

 

Hialeah Gardens

 

 

0.0572

 

Homestead

 

 

0.0592

 

Indian Creek Village

 

 

0.0120

 

Islandia

 

 

0.0050

 

Key Biscayne

 

 

0.0572

 

Medley

 

 

0.0672

 

Miami

 

 

0.0572

 

Miami Beach

 

 

0.0572

 

Miami Gardens

 

 

0.0572

 

Miami Lakes

 

 

0.0572

 

Miami Shores Village

 

 

0.0622

 

Miami Springs

 

 

0.0572

 

North Bay Village

 

 

0.0540

 

North Miami

 

 

0.0572

 

North Miami Beach

 

 

0.0572

 

Opa-locka

 

 

0.0572

 

Palmetto Bay

 

 

0.0572

 

Pinecrest

 

 

0.0602

 

South Miami

 

 

0.0572

 

Sunny Isles Beach

 

 

0.0572

 

Surfside

 

 

0.0572

 

PAGe totAL

 

 

 

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 10

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

e. Local tax due

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

MIAMI-DADE - continued

 

Sweetwater

0.0572

Virginia Gardens

0.0572

West Miami

0.0490

MONROE

 

Unincorporated area

0.0254

Islamorada

0.0612

Key Colony Beach

0.0600

Key West

0.0612

Layton

0.0090

Marathon

0.0612

NASSAU

 

Unincorporated area

0.0244

Callahan

0.0510

Fernandina Beach

0.0572

Hilliard

0.0582

OKALOOSA

 

Unincorporated area

0.0230

Cinco Bayou

0.0512

Crestview

0.0522

Destin

0.0522

Fort Walton Beach

0.0562

Laurel Hill

0.0280

Mary Esther

0.0502

Niceville

0.0550

Shalimar

0.0500

Valparaiso

0.0522

OKEECHOBEE

 

Unincorporated area

0.0140

Okeechobee

0.0570

ORANGE

 

Unincorporated area

0.0528

Apopka

0.0642

Bay Lake

0.0030

Belle Isle

0.0552

Eatonville

0.0552

Edgewood

0.0552

Lake Buena Vista

0.0030

Maitland

0.0552

Oakland

0.0552

Ocoee

0.0552

Orlando

0.0552

Windermere

0.0552

Winter Garden

0.0552

Winter Park

0.0602

OSCEOLA

 

Unincorporated area

0.0572

Kissimmee

0.0572

St. Cloud

0.0560

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 11

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PALM BEACH

 

Unincorporated area

0.0572

Atlantis

0.0510

Belle Glade

0.0512

Boca Raton

0.0542

Boynton Beach

0.0522

Briny Breezes

0.0522

Cloud Lake

0.0232

Delray Beach

0.0522

Glen Ridge

0.0522

Golf

0.0522

Greenacres

0.0644

Gulf Stream

0.0522

Haverhill

0.0260

Highland Beach

0.0522

Hypoluxo

0.0592

Juno Beach

0.0522

Jupiter

0.0522

Jupiter Inlet Colony

0.0000

Lake Clarke Shores

0.0522

Lake Park

0.0532

Lake Worth

0.0522

Lantana

0.0542

Loxahatchee Groves

0.0522

Manalapan

0.0160

Mangonia Park

0.0562

North Palm Beach

0.0522

Ocean Ridge

0.0200

Pahokee

0.0522

Palm Beach

0.0522

Palm Beach Gardens

0.0150

Palm Beach Shores

0.0552

Palm Springs

0.0532

Riviera Beach

0.0522

Royal Palm Beach

0.0522

South Bay

0.0510

South Palm Beach

0.0560

Tequesta

0.0522

Wellington

0.0522

West Palm Beach

0.0542

PASCO

 

Unincorporated area

0.0244

Dade City

0.0582

New Port Richey

0.0622

Port Richey

0.0570

San Antonio

0.0140

St. Leo

0.0582

Zephyrhills

0.0612

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 12

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PINELLAS

 

Unincorporated area

0.0582

Belleair

0.0582

Belleair Beach

0.0660

Belleair Bluffs

0.0582

Belleair Shore

0.0300

Clearwater

0.0572

Dunedin

0.0592

Gulfport

0.0672

Indian Rocks Beach

0.0290

Indian Shores

0.0582

Kenneth City

0.0570

Largo

0.0622

Madeira Beach

0.0632

North Redington Beach

0.0572

Oldsmar

0.0642

Pinellas Park

0.0600

Redington Beach

0.0600

Redington Shores

0.0582

Safety Harbor

0.0712

Seminole

0.0582

South Pasadena

0.0632

St. Petersburg

0.0622

St. Pete Beach

0.0630

Tarpon Springs

0.0632

Treasure Island

0.0582

POLK

 

Unincorporated area

0.0582

Auburndale

0.0582

Bartow

0.0672

Davenport

0.0412

Dundee

0.0632

Eagle Lake

0.0602

Fort Meade

0.0592

Frostproof

0.0592

Haines City

0.0582

Highland Park

0.0060

Hillcrest Heights

0.0170

Lake Alfred

0.0582

Lake Hamilton

0.0432

Lake Wales

0.0582

Lakeland

0.0703

Mulberry

0.0582

Polk City

0.0582

Winter Haven

0.0692

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 13

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PUTNAM

 

Unincorporated area

0.0244

Crescent City

0.0570

Interlachen

0.0582

Palatka

0.0582

Pomona Park

0.0582

Welaka

0.0582

ST. JOHNS

 

Unincorporated area

0.0184

Hastings

0.0522

Marineland

0.0040

St. Augustine

0.0522

St. Augustine Beach

0.0522

ST. LUCIE

 

Unincorporated area

0.0214

Fort Pierce

0.0552

Port St. Lucie

0.0552

St. Lucie Village

0.0190

SANTA ROSA

 

Unincorporated area

0.0188

Gulf Breeze

0.0455

Jay

0.0160

Milton

0.0612

SARASOTA

 

Unincorporated area

0.0542

Longboat Key

0.0582

North Port

0.0632

Sarasota

0.0592

Venice

0.0582

SEMINOLE

 

Unincorporated area

0.0572

Altamonte Springs

0.0654

Casselberry

0.0602

Lake Mary

0.0582

Longwood

0.0612

Oviedo

0.0616

Sanford

0.0760

Winter Springs

0.0652

SUMTER

 

Unincorporated area

0.0234

Bushnell

0.0562

Center Hill

0.0572

Coleman

0.0572

Webster

0.0572

Wildwood

0.0572

PAGe totAL

 

Complete Columns B, C, and E for all jurisdictions in which you provide or use communications services. Attach Schedule I and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 14

 

 

Schedule I - State, Gross Receipts, and Local taxes Due

 

 

 

Business name

 

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Local jurisdiction

B. taxable sales subject to

C. taxable sales subject

D. Local tax rate

 

e. Local tax due

 

 

 

 

 

 

 

 

6.65% state tax and .15%

to 2.37% gross receipts

 

 

 

 

 

 

 

 

 

gross receipts tax

tax and local tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUWANNEE

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Branford

 

 

0.0520

 

 

 

 

 

Live Oak

 

 

0.0620

 

 

 

 

 

TAYLOR

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Perry

 

 

0.0622

 

 

 

 

 

UNION

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0234

 

 

 

 

 

Lake Butler

 

 

0.0560

 

 

 

 

 

Raiford

 

 

0.0050

 

 

 

 

 

Worthington Springs

 

 

0.0550

 

 

 

 

 

VOLUSIA

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0552

 

 

 

 

 

Daytona Beach

 

 

0.0552

 

 

 

 

 

Daytona Beach Shores

 

 

0.0552

 

 

 

 

 

DeBary

 

 

0.0552

 

 

 

 

 

DeLand

 

 

0.0552

 

 

 

 

 

Deltona

 

 

0.0652

 

 

 

 

 

Edgewater

 

 

0.0552

 

 

 

 

 

Flagler Beach

 

 

0.0540

 

 

 

 

 

Holly Hill

 

 

0.0552

 

 

 

 

 

Lake Helen

 

 

0.0552

 

 

 

 

 

New Smyrna Beach

 

 

0.0552

 

 

 

 

 

Oak Hill

 

 

0.0552

 

 

 

 

 

Orange City

 

 

0.0552

 

 

 

 

 

Ormond Beach

 

 

0.0552

 

 

 

 

 

Pierson

 

 

0.0540

 

 

 

 

 

Ponce Inlet

 

 

0.0572

 

 

 

 

 

Port Orange

 

 

0.0552

 

 

 

 

 

South Daytona

 

 

0.0602

 

 

 

 

 

WAKULLA

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0244

 

 

 

 

 

Sopchoppy

 

 

0.0180

 

 

 

 

 

St. Marks

 

 

0.0570

 

 

 

 

 

WALTON

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0130

 

 

 

 

 

DeFuniak Springs

 

 

0.0542

 

 

 

 

 

Freeport

 

 

0.0190

 

 

 

 

 

Paxton

 

 

0.0320

 

 

 

 

 

WASHINGTON

 

 

 

 

 

 

 

 

 

Unincorporated area

 

 

0.0234

 

 

 

 

 

Caryville

 

 

0.0572

 

 

 

 

 

Chipley

 

 

0.0592

 

 

 

 

 

Ebro

 

 

0.0110

 

 

 

 

 

Vernon

 

 

0.0590

 

 

 

 

 

Wausau

 

 

0.0572

 

 

 

 

 

PAGe totAL

 

 

 

 

 

 

 

 

 

GRAND totAL

 

 

 

 

 

 

 

 

 

(Carry forward to next page)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you complete Schedule I, then you must also complete Summary of Schedule I. Attach the schedule, summary, and all other supporting schedules to the tax return.

DR-700016S

R.01/11 Page 15

Summary of Schedule I - State, Gross Receipts, and Local taxes Due

Business name

Business partner number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F.

 

 

 

G.

h.

 

 

 

 

 

 

 

 

 

 

 

 

6.65% State tax and

 

 

2.37% Gross Receipts tax

Local tax

 

 

 

 

.15% Gross Receipts tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

taxable sales

 

 

4.

taxable sales

 

 

 

 

 

 

 

 

 

(Col. B grand

 

 

 

(Col. C grand

 

 

 

 

 

 

 

 

 

total)

 

 

 

total)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

State tax rate

 

.068

5.

Gross receipts

 

.0237

 

 

 

 

 

 

 

(.0665) and

 

 

 

tax rate (.0237)

 

 

 

 

 

 

 

 

 

gross receipts

 

 

 

 

 

 

 

 

 

 

 

 

 

tax rate (.0015)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

State 6.65%

 

 

6.

Gross receipts

 

 

7. Local tax due

 

 

 

 

 

 

plus .15% gross

 

 

 

tax due (enter

 

 

(Column e grand

 

 

 

 

 

 

receipts tax due

 

 

 

this amount on

 

 

total). (enter

 

 

 

 

 

 

(enter this amount

 

 

 

Page 1, Line 2)

 

 

this amount on

 

 

 

 

 

 

on Page 1, Line 1)

 

 

 

 

 

 

Page 1, Line 3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete this form, sign it, and mail it with your DR-700016 if:

The business name (legal entity) changed.

The business was closed.

The business was sold.

To report an address change, submit the information on the payment coupon (Page 1 of the return).

Closing or Sale of Business or Change of Legal entity

The legal entity changed on ______/______/______ . If you change your legal entity and are continuing to do business in Florida and the corporation is

registered for communications services tax, you must complete a new Application to Collect and/or Report Tax in Florida (Form DR-1).

The business was closed permanently on ______/______/______ .

Are you a corporation/partnership required to ile communications services tax returns?

FeIN

 

 

 

 

 

 

 

 

 

 

 

 

Business partner

 

 

 

 

 

 

 

 

 

 

 

 

number

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

The business was sold on ______/______/______ . The new owner information is:

 

Name of new owner:

 

 

 

Telephone number of new owner: (

)

 

 

 

 

 

 

 

 

 

Mailing address of new owner:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

County:

 

 

State:

ZIP:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of oficer (required)

 

 

 

 

 

Date

 

 

Telephone number (

 

)

 

Direct-to-home satellite service providers must complete Schedule II (and Schedule III, if needed) and attach to the tax return.

DR-700016S

R.01/11 Page 16

Schedule II - Direct-to-home Satellite Services

Business name

Business partner number

A. taxable Sales

B. tax Rate

C. Net tax Due

enter this amount on Page 1, Line 4.

.1317

 

Schedule III -

Direct-to-home Satellite Services

Adjustments

 

Business name

 

Reporting period

 

Business partner number

 

 

 

(Use last day of reporting period in MM / DD / YY format)

 

 

 

 

 

 

 

 

A. Change in

B. Rate

C. Collection

D. Adjustment

e. Penalty

F. Interest

Reported taxable

 

Allowance

Amount

 

 

Sales

 

Adjustment

(Report credits in parentheses)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G. totAL ADJUStMeNtS (Add Columns D, e, and F. enter this amount on Page 1, Line 10)

 

 

 

 

Schedule IV - Adjustments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business name

 

 

 

Reporting period

 

 

 

Business partner number

 

 

 

 

 

 

(Use last day of reporting period in

 

 

 

 

 

 

 

 

 

 

MM / DD / YY format)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State Tax

Calculation

 

 

Local Tax

Calculation

 

Penalty and Interest

 

 

 

 

 

 

 

 

 

 

 

 

A. Local Jurisdiction

B. Change in

C. Rate

 

D.

E. Adjustment

F. Change in

G. Rate

H.

I. Adjustment

J. Penalty

K. Interest

 

Reported Taxable

 

 

Collection

Amount

Reported Taxable

 

Collection

Amount

 

 

 

Sales

 

+/– AdjustmentAllowance

(Report credits in

Sales

 

+/– AdjustmentAllowance

(Report credits in

 

 

 

 

 

 

 

parentheses)

 

 

 

parentheses)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY:

 

 

 

 

 

 

Unincorporated Area:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

COUNTY:

 

 

 

 

 

 

Unincorporated Area:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

COUNTY:

 

 

 

 

 

 

Unincorporated Area:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

COUNTY:

 

 

 

 

 

 

Unincorporated Area:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

CITY:

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

L. Change in Reported

M. Rate

N. Collection Allowance

O. Adjustment Amount

P. Penalty

Q. Interest

Gross Receipts

Taxable Sales

+/–

Adjustment

 

 

 

(See Instructions)

(See Instructions)

(Report credits in parentheses)

 

 

Calculation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R. Net Tax Adjustments

+

S. Penalty

+

T. Interest

U. Total Adjustments

 

 

(Add Cols. E, I, and O)

(Add Cols. J and P)

(Add Cols. K and Q)

(Add Cols. R, S, and T. Enter this

 

Penalty and Interest

 

 

 

amount on Page 1, Line 10.)

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation

 

 

 

 

 

(Report credits in parentheses)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See Instructions for completing

If you complete Schedule IV, attach

it to this

Schedule.

the tax return

 

.

DR-700016S

R. 01/11

Page 17

If you complete Schedule V, attach it to the tax return.

See Instructions for completing this Schedule.

DR-700016S

R.01/11 Page 18

 

 

Schedule V - Multistate Credits

 

 

 

Business name

 

 

 

 

Business partner number

 

 

 

 

 

 

 

 

 

 

 

Applied Period

Local tax

State tax

Gross Receipts

Direct-to-home

 

Credits

Credits

Credits

Satellite

A. Local

B. Beginning Date

C. ending Date

D. Multistate

e. Multistate

F. Multistate

G. Multistate

 

Jurisdiction

(MMDDyyyy)

(MMDDyyyy)

Credits

Credits

Credits

Credits

 

 

 

 

 

 

 

 

 

 

 

 

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoUNty:

Unincorporated Area:

CITY:

CITY:

CITY:

CoLUMN totALS

h. totAL CReDItS (Add totals of Columns D through G. enter this amount on Page 1, Line 11.)

Instructions for Completing the Florida

Communications Services tax Return (Form DR-700016)

DR-700016N

R.01/11 Page 19

General Information and Instructions

The form and instructions have been updated to relect changes made in 2010 as follows:

The state rate decreased from 6.8 to 6.65 percent and an additional gross receipts tax of .15 percent was added. However, providers must still report a combined rate of 6.8 percent in Column B on Schedule I regardless of how customers are billed. For more information, see the Instructions for Schedule I, Column B.

exemptions

Transactions exempt from the tax include:

Sales for resale.

Sales to federal government agencies.

Sales to state, local, and municipal governments.

Sales to religious and educational organizations, and homes for the aged that are currently exempt from federal income tax under sec- tion 501(c)(3) of the Internal Revenue Code.

Sales to holders of a direct pay permit for communications services.

The reporting requirements for bad debts have changed. For more information, see the Instructions for Schedule I and Schedule IV, “Who must complete this schedule?”

What is the communications services tax?

Communications services tax is imposed by Chapter 202, Florida Statutes. This tax includes a state portion, a gross receipts portion, and a local portion. The tax is imposed on voice, data, audio, video, or any other information or signal, including cable services that are transmitted by any medium.

tax Rates

The rate for the state portion is 6.65 percent (.0665). The total rate for the gross receipts portion is 2.52 percent (.0252), which is composed of .15 percent (.0015) and 2.37 percent (.0237). The rate for direct-to- home satellite services is 13.17 percent (.1317). Each taxing jurisdiction (municipality, charter county, or unincorporated county) has a speciic local tax rate. To verify current local tax rates, visit the Department’s Internet site at www.mylorida.com/dor/taxes/cst.html.

Services subject to tax

Examples of services subject to the tax include:

Local, long distance, and toll telephone

Voice over Internet Protocol (VoIP) telephone

Cable television

Direct-to-home satellite

Mobile communications

Private communications

Pager and beeper

Telephone charge made by a hotel or motel

Facsimiles (fax), when not provided in the course of professional or advertising services

Telex, telegram, and teletypewriter

Services not subject to tax

Examples of services not subject to the tax include:

Information services (these services may include electronic publishing, web-hosting services, or end user 900-number services)

Internet access services, electronic mail services, electronic bulletin board services, or similar online computer services

Sale or recharge of prepaid calling arrangements

Pay telephone charges

Note: When taxable and nontaxable services are bundled together and sold as a package for one sale price, the entire charge becomes subject to tax. However, if the nontaxable service is Internet access service and that charge can be reasonably identiied in your books and records kept in the regular course of business, you are not required to collect tax on the portion of the bundled charge identiied as Internet access service.

Partial exemption for residential service

Communications services sold to a residential household are exempt from the 6.65 percent state portion and the .15 percent gross receipts portion of the tax. Residential service is subject to the 2.37 percent gross receipts tax and local tax. This partial exemption does not apply to the sale of mobile communications service, cable service, direct-to- home satellite service, or any residence that constitutes all or part of a transient public lodging establishment as deined in Chapter 509, F.S.

Who must ile a return?

All registered dealers of communications services must ile a Florida Communications Services Tax Return (Form DR-700016).

When is the return due and payable?

Returns and payments are due on the 1st and late after the 20th day of the month following each collection period. If the 20th falls on a Saturday, Sunday, or state or federal holiday, your return must be post- marked or hand delivered on the irst business day following the 20th.

Electronic payments must be initiated no later than 5:00 p.m. Eastern time on the last business day before the 20th. Electronic returns must have an electronic date stamp on or before the 20th.

Penalty for late payments

A 10 percent penalty is due for each 30-day period, or fraction thereof, that your return or payment is late. The maximum penalty is 50 percent of the total amount due. See chart below.

Late payments include additional tax due as a result of changes in situsing of previously reported sales from a local jurisdiction with a lower tax rate to a local jurisdiction with a higher tax rate, if the provider has not used an address database that meets the requirements of section 202.22, F.S.

Days Late

Rate

1-30

10%

31-60

20%

61-90

30%

91-120

40%

over 120

50%

Interest on late payments

Interest is due on late payments and is accrued from the date tax is

late until it is paid. A loating rate of interest applies to underpayments and late payments of tax. The rate is updated January 1 and July 1 of each year by using the formula established in s. 213.235, F.S. To obtain interest rates:

Visit the Department’s Internet site at www.mylorida.com/dor

Call Taxpayer Services, Monday through Friday, 8 a.m. to 7 p.m., ET, at 800-352-3671.

Selling or closing your business

If your business has been sold, merged, or has ceased operations, please complete the Closing or Sale of Business or Change of Legal Entity form (Page 15).

Changing your business address or name

If your business address or name has changed, please write the change(s) in the spaces provided on the payment coupon (Page 1). You may also submit changes online at: www.mylorida.com/dor.

Where to send payments and returns

Make check payable to and send with return to:

FLORIDA DEPARTMENT OF REVENUE PO BOX 6520

TALLAHASSEE FL 32314-6520 or

File online via our Internet site at www.mylorida.com/dor

how can I get more information?

If you have questions about this form or the iling requirements for this tax, contact Taxpayer Services, Monday through Friday, 8 a.m. to 7 p.m., ET, at 800-352-3671. Hearing-impaired or speech-impaired persons may call the TDD line at 800-367-8331 or 850-922-1115.

Completing the Return

Business partner number - This is a unique identiier assigned by the Department when you register. The business partner number appears on your Communications Services Tax Certiicate of Registration (DR- 700014). Please be sure that this number is recorded on the return and all schedules before submission.

Rounding rule - All dollar amounts should be rounded up to the nearest hundredth (.01).

Proper collection of tax - “Tax due” is not a straight percentage calculation using the “Taxable sales” columns of Schedule I. The tax rates are preprinted on the schedule as a convenience, but the amount of tax entered in the “tax due” columns should never be less than the actual amount of tax charged.

Supporting schedules - All supporting schedules are required to process the return. Failure to submit supporting schedules will delay the processing of the return and/or any refund that may be associated with the return. Florida law imposes a $5,000 penalty if you fail to report and identify local communications services tax on the appropriate return schedule. Failure to include Schedule I or the use of an unapproved alternative format for Schedule I (such as a spreadsheet) will result in this penalty.

Signature - The return must be signed by a person who is authorized to sign on behalf of the dealer. Failure to include an authorized signature will delay the processing of the return and/or any refund that may be associated with the return.

Line-by-Line Instructions

Enter all demographic information requested on Page 1 of the return, if the return is not personalized.

Note: Complete Schedules I through V, if applicable, before completing Lines 1-12 of the return.

Line 1 - tax due on sales subject to 6.65 percent state and .15 percent gross receipts portions of communications services tax. Enter the amount from Summary of Schedule I, Column F, Line 3

(Page 15).

DR-700016N

R. 01/11

Page 20

Line 2 - tax due on sales subject to 2.37 percent gross receipts portion of communications services tax. Enter the amount from Summary of Schedule I, Column G, Line 6 (Page 15).

Line 3 - tax due for sales subject to local portion of communications services tax. Enter the amount from Summary of

Schedule I, Column H, Line 7 (Page 15).

Line 4 - tax due for direct-to-home satellite services. Enter total from Schedule II, Column C (Page 16).

Line 5 - total communications services tax. Add Lines 1 through 4 and enter the result.

Line 6 - Collection allowance. If the collection allowance rate is not preprinted on the return, check the box for the collection allowance that applies to this iling period. Multiply the collection allowance rate by the amount on Line 5 and enter the result.

Determining the collection allowance:

Only timely iled returns with payments are entitled to a collection allowance.

If you submit a timely iled return and payment and use the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., to situs customers you may apply a

.75 percent (.0075) collection allowance.

Direct-to-home satellite providers who ile a timely return and payment may apply a .75 percent (.0075) collection allowance.

If you ile a timely return and payment and do not use the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., you must apply a .25 percent (.0025) collection allowance.

Direct pay permit holders do not receive a collection allowance on amounts accrued but not collected from customers.

Line 7 - Net communications services tax due. Subtract Line 6 from Line 5 and enter the result.

Line 8 - Penalty. A 10 percent penalty is due for each 30-day period, or fraction thereof, that your return or payment is late. The maximum penalty is 50 percent of the amount due. Multiply Line 5 by the applicable penalty percentage and enter the result.

Line 9 - Interest. Interest is due on late payments, from the date tax is late until paid. A loating rate of interest applies to underpayments and late payments of tax. The rate is updated January 1 and July 1 of each year by using the formula established in section 213.235, F.S. See “Interest on late payments” on Page 19 for more information. Multiply Line 5 by the applicable interest rate and enter the result.

Line 10 - Adjustments. Enter the Total Adjustments from Schedule III, Column G (Page 16) and/or the Total Adjustments from Schedule IV, Column U (Page 17). Enter negative numbers in parentheses (amount).

Line 11 - Multistate credits. Enter the Total Credits from Schedule V, Column H (Page 18).

Line 12 - Amount due with return. Add lines 7 through 9, add or subtract Line 10, subtract Line 11 and enter the result. Enclose a check for the amount due payable to the Florida Department of Revenue.

Signature. The return must be signed by a person who is authorized to sign on behalf of the provider. Failure to include an authorized signature on Page 1 of the return will delay the processing of the return and/or any refund that may be associated with the return.

Schedule I

State, Gross Receipts,

and Local taxes Due

Who must complete this schedule?

Communications services providers, including cable service providers, direct pay permit holders, and mobile communications providers, must complete this schedule and send it with the tax return. (Direct-to- home satellite service providers should not complete Schedule I, but must complete Schedule II.) Florida law imposes a $5,000 penalty if you fail to report and identify local communications services tax on the appropriate return schedule. Failure to include Schedule I or the use of an unapproved alternative format for Schedule I (such as a spreadsheet) will result in this penalty.

Important Notes about Schedule I:

This Schedule must not contain any negative numbers.

Eligible bad debt credits may be netted on this Schedule; however, the result must not be less than zero.

This Schedule must not be used to report other credits or adjustments. Use Schedule IV to report other credits, make adjustments to prior periods, and take credit for tax paid on services that are resold.

Note on bad debts: Communications services providers may report credits for bad debts by netting the credit directly against communications services tax due on Schedule I, or may report credits for bad debts on Schedule IV. Providers using Schedule I may use a proportional allocation method based on current gross sales or other reasonable allocation method approved by the Department to determine the amount of bad debt attributable to the state or local jurisdiction. The credit must be taken within 12 months after the last day of the calendar year for which the bad debt was charged off on the federal return. Regardless of the method used to report bad debt credits, providers must keep records to support all credit amounts reported.

Schedule I, Columns A through e (Pages 3-14)

Column A - Local jurisdiction. You must report the amount of taxable sales and tax collected and/or accrued for each county and municipality

in which you provide or use communications services.

Column B - taxable sales subject to 6.65 percent state tax and

.15 percent gross receipts tax. Enter total sales of all taxable communications services and/or all purchases subject to tax under a direct pay permit.

Note: Communications services sold to a residential household are exempt from the 6.65 percent state portion and the .15 percent gross receipts portions of the tax. This exemption does not apply to the sale of mobile communications service, cable service, direct-to-home satellite service, or any residence that constitutes all or part of a transient public lodging establishment as deined in Chapter 509, F.S. Residential service is subject to the 2.37 percent gross receipts tax and local tax.

Column C - taxable sales subject to 2.37 percent gross receipts and local taxes. Enter total sales of all taxable communications services and/or all purchases subject to tax under a direct pay permit.

Column D - Local tax rates. A list of local rates by jurisdiction is preprinted. Note: Local rates can change. You may verify current rates

at www.mylorida.com/dor/taxes/cst.html.

Column e - Local tax due. Enter the total local tax collected and/ or accrued for taxable transactions reported in Column C, on the line corresponding to the appropriate local jurisdiction.

DR-700016N

R. 01/11

Page 21

Summary of Schedule I, Columns F-h (Page 15)

Column F - 6.65 percent state tax and .15 percent gross receipts tax.

Line 1 - taxable sales. Enter the grand total from Schedule I, Column B.

Line 2 - State tax rate (.0665) and gross receipts tax rate (.0015). The state tax rate of .068 is preprinted. This rate is comprised of both the 6.65 percent state portion and the .15 percent gross receipts portion.

Line 3 - State tax due. Enter the total 6.65 percent state tax plus the .15 percent gross receipts tax collected and/or accrued for sales reported on Summary of Schedule I, Column F, Line 1. Also enter the

amount on Page 1, Line 1.

Column G - 2.37 percent gross receipts tax.

Line 4 - taxable sales. Enter the grand total from Schedule I, Column C.

Line 5 - Gross receipts tax rate. The gross receipts tax rate of .0237 is preprinted.

Line 6 - Gross receipts tax due. Enter the gross receipts tax collected and/or accrued for sales reported on Summary of Schedule I, Column G, Line 4. Also enter the amount on Page 1, Line 2.

Column h - Local tax.

Line 7 - Local tax due. Enter the grand total from Schedule I, Column E. Also enter the amount on Page 1, Line 3.

Schedule II

Direct-to-home Satellite Services

Who must complete this schedule?

Direct-to-home satellite service providers must complete this schedule and send it with the tax return.

Important Notes about Schedule II:

This Schedule must not contain any negative numbers.

Eligible bad debt credits may be netted on this Schedule; however, the result must not be less than zero.

This Schedule must not be used to report other credits or adjustments. Use Schedule III to report other credits, make adjustments to prior periods, and take credit for tax paid on services that are resold.

Note on bad debts: Direct-to-home satellite service providers may report credits for bad debts by netting the credit directly against communications services tax due on Schedule II, or may report credits for bad debts on Schedule III. Providers using Schedule II may use

a proportional allocation method based on current gross sales or other reasonable allocation method approved by the Department to determine the amount of bad debt. The credit must be taken within 12 months after the last day of the calendar year for which the bad debt was charged off on the federal return. Regardless of the method used to report bad debt credits, providers must keep records to support all credit amounts reported.

Column A - taxable sales. Enter total taxable sales of direct-to-home satellite communications services.

Column B - tax rate. The direct-to-home satellite services tax rate of

.1317 is preprinted.

Column C - Net tax due. Enter the total communications services tax collected and/or accrued for taxable sales reported on Schedule II, Column A. Also enter the amount on Page 1, Line 4.

Schedule III

Direct-to-home Satellite

Services Adjustments

Who must complete this schedule?

Direct-to-home satellite service providers must complete this schedule to report adjustments to previous iling periods.

Important notes about Schedule III:

Complete a separate Schedule III for each applied period that you are adjusting.

Make photocopies of Schedule III as needed.

The amount of credit claimed on Schedule III cannot exceed the amount of tax reported on Schedule II. If the credit claimed is greater than the tax collected, report the additional amount on a subsequent return.

Note on bad debts: Providers may choose to report bad debt credits on Schedule III instead of netting them on Schedule II. The credit amount should be reported as a reduction in taxable sales in Column A. The credit must be taken within 12 months after the last day of the calendar year for which the bad debt was charged off on the federal return. Providers must keep records to support all credit amounts reported.

Column A - Change in reported taxable sales. Enter the net change in taxable sales. This is the total of the taxable sales which are either being added to or deleted from transactions previously reported. Report negative amounts in parentheses (amount).

Column B - Rate. Enter the appropriate rate for the applied period that you are adjusting.

Column C - Collection allowance adjustment. Collection allowance adjustments are required for all transactions that result in a decrease in taxable sales. If Column A (Change in reported taxable sales) is

a decrease (negative number), multiply .0075 by the amount of tax collected and/or accrued on the amount in Column A. The result should be entered as a positive number in Column C. If a collection allowance was not taken on the original return or the adjustment results in an increase in taxable sales, this section does not apply. Enter 0 (zero) in Column C.

Column D - Adjustment amount. Subtract Column C from the amount of tax collected and/or accrued for sales transactions reported in Column A. Enter the result. Report negative amounts in parentheses (amount).

Penalty and Interest Calculation

Penalty and interest are due on all adjustments which result in an increase in tax due.

Column e - Penalty. See “Penalty for late payments” on Page 19 for information on calculating the penalty due.

Column F - Interest. See “Interest on late payments” on Page 19 for information on calculating the interest due.

Column G - total adjustments. Sum the totals of Columns D, E, and F. Enter the result in Column G and on Page 1, Line 10.

DR-700016N

R. 01/11

Page 22

Schedule IV

Adjustments

Who must complete this schedule?

Communications services providers (except direct-to-home satellite service providers) must use this schedule to:

Report corrections or adjustments to previous reporting periods. This schedule must be used to correct state or local tax situsing errors (revenue reported in the wrong jurisdiction) and to adjust amounts reported incorrectly on previous returns.

Report adjustments in taxable sales due to credits.

Take credit for tax paid to a vendor on services that have been resold.

Important notes about Schedule IV:

Complete a separate Schedule IV for each applied period that you are adjusting.

Make photocopies of Schedule IV as needed.

The amount of credit claimed on Schedule IV cannot exceed the amount of tax reported on Schedule I. If the credit claimed is greater than the tax collected, report the additional amount on a subsequent return.

Note on bad debts: Providers may choose to report bad debt credits on Schedule IV instead of netting them on Schedule I. The credit amount should be reported as a reduction in taxable sales in Column B. The credit must be taken within 12 months after the last day of the calendar year for which the bad debt was charged off on the federal return. Providers must keep records to support all credit amounts reported.

Column A - Local jurisdiction. Enter the names of the jurisdiction(s) for which you have adjustments. Attach additional sheets as needed.

State tax Calculation

Column B - Change in reported taxable sales. Enter the net change in taxable sales on the line corresponding to the appropriate local jurisdiction(s). The net change in taxable sales may include a reduction for eligible bad debts. Report negative amounts in parentheses (amount).

Column C - Rate. Enter the 6.8 percent state rate. Note: For reporting periods after July 2010, the 6.8 percent state rate is a combination of the 6.65 percent state portion and the .15 percent gross receipts portion.

Column D - Collection allowance adjustment. Collection allowance adjustments for state tax are required for transactions that result in a decrease in taxable sales for a prior applied period. If the original iling was not eligible for a collection allowance, or if this schedule is being used to report an increase in taxable sales for a prior applied period or a change in jurisdiction only (no change in taxable sales), this section does not apply. Enter 0 (zero) in Column D.

If Column B (change in reported taxable sales) is a decrease (negative number), the collection allowance must be recouped by one of the following methods. The result should be entered as a positive number in Column D.

If you are using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply .0075 by the tax collected and/or accrued for sales being decreased in Column B.

If you are not using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply

.0025 by the tax collected and/or accrued for sales being decreased in Column B.

Column e - Adjustment amount. Subtract Column D from the tax collected and/or accrued for the sales reported in Column B, and enter the result.

Local tax Calculation

Column F - Change in reported taxable sales. Enter the net change in taxable sales for the appropriate jurisdiction(s). The net change

in taxable sales may include a reduction for eligible debts. Report negative amounts in parentheses (amount).

When changes in taxable sales are due to situsing or reporting errors and tax has not been refunded to the customer, use the following calculations to determine the change in taxable sales.

If you are using the DoR database, a database certiied by DoR, or a ZIP+4 database in compliance with s. 202.22, F.S., adjustments to taxable sales should be made by reallocating the original local tax due amount reported in the wrong jurisdiction to the correct jurisdiction.

The tax should be reallocated regardless of the tax rate originally used or the tax rate of the correct jurisdiction. Taxable sales amounts should be calculated by dividing the tax amount by the tax rate for each affected jurisdiction.

example 1: $1,113.09 in local tax due was originally reported in Jurisdiction A (tax rate 1.10%), but should have been reported in Jurisdiction B (tax rate 2.10%). Calculate the change (decrease) in taxable sales for Jurisdiction A by dividing the tax due originally reported in Jurisdiction A by its current tax rate. (EX: $1,113.09 divided by .0110

=$101,190.00). Report the decrease in parentheses. Calculate the change (increase) in taxable sales to Jurisdiction B by dividing the tax due originally reported in Jurisdiction A by the current tax rate for Jurisdiction B. (EX: $1,113.09 divided by .0210 = $53,004.29).

example 2: $1,113.09 in local tax due was originally reported in Jurisdiction B (tax rate 2.10%), but should have been reported in Jurisdiction A (tax rate 1.10%). Calculate the change (decrease) in taxable sales for Jurisdiction B by dividing the tax due originally reported in Jurisdiction B by its current tax rate. (EX: $1,113.09 divided by .0210 = $53,004.29). Report the decrease in parentheses. Calculate the change (increase) in taxable sales to Jurisdiction A by dividing the tax due originally reported in Jurisdiction B by the current tax rate for Jurisdiction A. (EX: $1,113.09 divided by .0110 = $101,190.00).

If you are using a database that does not meet the requirements of section 202.22, F.S., you should identify the taxable sales and local tax due amounts to be reallocated, the tax rates for the jurisdictions where the tax was originally reported (incorrect jurisdiction), and where the tax should be reported (correct jurisdiction).

If the correct jurisdiction has a higher tax rate, the original taxable sales amount will be used to claim a credit in the incorrect jurisdiction. This same taxable sales amount will be used in the correct jurisdiction to calculate tax due. When multiplied by the tax rates, a higher local tax due amount in the correct jurisdiction will result. Note that additional local tax resulting from the transfer to a jurisdiction with a higher tax rate will be due, along with penalty and interest. See “Penalty and Interest Calculation.”

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example 3: $101,190.00 in taxable sales was originally reported in Jurisdiction A (tax rate 1.10%) but should have been reported in Jurisdiction B (tax rate 2.10%). Report the change (decrease) in taxable sales ($101,190.00) in Jurisdiction A and the tax rate (1.10%) in the appropriate columns. Report the decrease in parentheses. Report the change (increase) in taxable sales ($101,190.00) in Jurisdiction B and the tax rate (2.10%) in the appropriate columns. The additional tax will be due, along with penalty and interest.

If the rate of the correct jurisdiction is the same as or lower than the original (incorrect) jurisdiction, the tax due amount reported should be used to claim a credit in the original (incorrect) jurisdiction and this same tax due amount reported in the correct jurisdiction. Taxable sales amounts should be calculated by dividing the tax amount by the tax rate for each affected jurisdiction. When tax is transferred to a jurisdiction with a lower rate, calculated taxable sales will not match actual sales to customers but will provide the information needed to correct the allocation of tax reported.

example 4: $1,113.09 in local tax due was originally reported in Jurisdiction B (tax rate 2.10%), but should have been reported in Jurisdiction A (tax rate 1.10%). Calculate the change (decrease) in taxable sales for Jurisdiction B by dividing the tax due originally reported in Jurisdiction B by its current tax rate. (EX: $1,113.09 divided by .0210 = $53,004.29). Report the decrease in parentheses. Calculate the change (increase) in taxable sales to Jurisdiction A by dividing the tax due originally reported in Jurisdiction B by the current tax rate for Jurisdiction A. (EX: $1,113.09 divided by .0110 = $101,190.00).

Column G - Rate. Enter the appropriate local rate for the applied period you are adjusting.

Column h - Collection allowance adjustment. Collection allowance adjustments are required for all transfers of tax between jurisdictions and any transactions that result in a decrease in taxable sales for a prior applied period. If the original iling was not eligible for a collection allowance or if this schedule is being used to report only an increase in taxable sales for a prior applied period, this section does not apply. Enter 0 (zero) in Column H.

When a jurisdictional transfer results in a transfer to a jurisdiction with the same or higher tax rate, the collection allowance adjustment must be capped at the amount claimed on the original return (i.e., no additional collection allowance will be granted on additional tax due as a result of the transfer).

If Column F (Change in reported taxable sales) is a decrease (negative number), the collection allowance must be recouped by one of the following methods. The result should be entered as a positive number in Column H.

If you are using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply .0075 by the tax collected and/or accrued for sales being decreased in Column F.

If you are not using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply

.0025 by the tax collected and/or accrued for sales being decreased in Column F.

Column I - Adjustment amount. Subtract Column H from the tax collected and/or accrued for the sales reported in Column F, and enter the result. Report negative amounts in parentheses (amount).

Penalty and Interest Calculation

Penalty and interest are due on all adjustments which result in additional tax due, except corrections of state or local tax situsing errors (revenue reported in the wrong jurisdiction). If you are using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., you will be held harmless for tax, penalty, and interest that would have accrued otherwise as a result of the additional tax due on transfers between jurisdictions. If you do not use a database as speciied in the previous sentence you will not be held harmless and the additional tax due from the transfer to the jurisdiction with the higher tax rate will be due, along with penalty and interest.

Column J - Penalty. See “Penalty for late payments” on Page 19 for information on calculating the penalty due.

Column K - Interest. See “Interest on late payments” on Page 19 for information on calculating the interest due.

Gross Receipts Calculation

Column L - Change in reported taxable sales. Enter the net change in taxable sales. The net change in taxable sales may include a reduction for eligible bad debts. Report negative amounts in parentheses (amount).

Column M - Rate. Enter the 2.37 percent gross receipts rate.

Column N - Collection allowance adjustment. Collection allowance adjustments are required for all transactions that result in a decrease in taxable sales. If the original iling was not eligible for a collection allowance or if this schedule is being used to report only an increase in taxable sales for a prior applied period, this section does not apply Enter 0 (zero) in Column N.

If Column F (change in reported taxable sales), is a decrease (negative number), the collection allowance must be recouped by one of the following methods. The result should be entered as a positive number in Column N.

If you are using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply .0075 by the tax collected and/or accrued for sales being decreased in Column F.

If you are not using the DOR database, a database certiied by DOR, or a ZIP+4 database in compliance with s. 202.22, F.S., multiply

.0025 by the tax collected and/or accrued for sales being decreased in Column F.

Column o - Adjustment amount. Subtract Column N from the tax accrued on the transactions reported in Column L and enter the result. Report negative amounts in parentheses (amount).

Column P - Penalty. See “Penalty for late payments” on Page 19 for information on calculating the penalty due.

Column Q - Interest. See “Interest on late payments” on Page 19 for information on calculating the interest due.

Column R - Net tax adjustments. Add the totals of Columns E, I, and O and enter the result. Report negative amounts in parentheses

(amount).

Column S - Penalty. Add the totals of Columns J and P and enter the result.

Column t - Interest. Add the totals of Columns K and Q and enter the result.

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Column U - total adjustments. Add Columns R, S, and T and enter the result in Column U and on Page 1, Line 10 of the return. Report negative amounts in parentheses (amount).

Schedule V

Multistate Credits

Who may complete this schedule?

Upon proof that you have paid a communications services tax legally imposed on a provider by another state or local jurisdiction, you may take a credit against the Florida communications services tax imposed on the provider for the same services not to exceed your Florida tax liability in the relevant local jurisdiction for the current iling period. Any credit amount exceeding the current month’s tax liability must be claimed on a subsequent return. Complete Columns A through

F.Direct-to-home satellite service providers must complete only Column G.

Note: Proof of communications services tax legally imposed on the provider by another state must be submitted at the time the credit is claimed. Copies of supporting documents must be included with your return or faxed to 850-410-2816, attention CST Return Reconciliation. Failure to submit proof will result in the denial of the credit claimed.

Column A - Local jurisdiction. Enter the county(ies) or municipality(ies) for which multistate credits apply.

Columns B and C - Applied period. Enter the month, day, and year for the beginning and ending dates of the original iling period for which the credit applies in the row corresponding to the appropriate local jurisdiction(s). Separate entries are required for each applied period.

Local tax Credits

Column D - Multistate credits. Enter the amount of the eligible multistate credit in each jurisdiction. Report negative amounts in parentheses (amount).

State tax Credits

Column e - Multistate credits. Enter the amount of the eligible multistate credits in each county. Report negative amounts in parentheses (amount).

Gross Receipts Credits

Column F - Multistate credits. Enter the amount of the eligible multistate credit. Report negative amounts in parentheses (amount).

Direct-to-home Satellite

Column G - Multistate credits. Enter the amount of the eligible multistate credit. Report negative amounts in parentheses (amount).

Column h - total credits. Add the totals of Columns D through G and enter the result in Column H and on Page 1, Line 11.