Form Dr-15ezcs Sales And Use Tax Return Florida
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1
2DR-15EZCS
Sales and Use Tax Return
R. 01/10
Rule 12A-1.097
Florida Administrative Code
Effective 01/10
Please complete this return.
Attach your check or money order and mail to:
Florida Department of Revenue
5050 W. Tennessee Street
Tallahassee, FL 32399-0120
If the Department mails you a personalized form,
instructions will be enclosed for completing your
2010 return. If you get a form from the Internet
or one of our offices and need instructions, you
may visit us online at
or call 800-352-3671 (TDD at 800-367-8331
or 850-922-1115). Make certain you read the
instructions for each line of the return before
completing your 2010 Sales and Use Tax return.
FLORIDA SALES AND USE TAX RETURN
DR-15EZ
R. 01/10
Collection Period
DOR USE ONLY
Certificate Number:
Surtax Rate:
postmark or hand-delivery date
Location/Mailing Address Changes:
New Location Address:
Telephone Number: (
)
New Mailing Address:
________________________________________
Name
Address
City/St/ZIP
,
Amount Due From Line 9
On Reverse Side
Check here if payment was made electronically.
Due:
9100 0 20109999 0001003043 2 4999999999 0000 5
Late After:
FLORIDA SALES AND USE TAX RETURN
DR-15EZ
R. 01/10
Collection Period
DOR USE ONLY
Certificate Number:
Surtax Rate:
postmark or hand-delivery date
Location/Mailing Address Changes:
New Location Address:
Telephone Number: (
)
New Mailing Address:
________________________________________
Name
Address
City/St/ZIP
,
Amount Due From Line 9
On Reverse Side
Check here if payment was made electronically.
Due:
9100 0 20109999 0001003043 2 4999999999 0000 5
Late After:
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