Form Dr-182 - Air Carrier Fuel Tax Return February 1997
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3DR-182
Florida Department of Revenue
R. 02/97
Florida Air Carrier Fuel Tax Return
Mail To:
For DOR use only
Florida Department of Revenue
/ / / / /
/ / / / /
5050 W. Tennessee Street
Tallahassee, Florida 32399-0165
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Check here if amending return
FEIN
License Number
Collection Period Ending
For DOR Use Only - Do Not Write in This Space
Return Due By
Late After
Complete Reverse Side of Return First
13.
Total Tax Due (From Page 2, Line 13) .......................................................................................... 13. $ ____________________
14.
Penalty (10% Per Month-See Instructions) .................................................................................. 14. $ ____________________
15.
Interest (1% Per Month-See Instructions) .................................................................................... 15. $ ____________________
16.
Credit Memo
(As Issued by DOR, Original Must Be Attached; No Photocopies)
....................... 16. $< __________________ >
17.
Total Due With Return (Lines 13 through 16) ............................................................................... 17. $ ____________________
Under penalties of perjury, I swear or affirm that this return, including any accompanying schedules and statements, has been examined
by me and that it is true, correct and complete for the collection period stated.
Signature of Taxpayer
Date
Title
Do Not Detach Coupon. Write Amount Due in Space Indicated.
Florida Department of Revenue
Mail To:
DR-182
Florida Department of Revenue
Florida Air Carrier Fuel Tax Return
R. 02/97
5050 W. Tennessee Street
Tallahassee, Florida 32399-0165
This return, your payment and supporting schedules are due on the 1st and late after the 20th day of the month following the
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Collection Period date below. To avoid penalty and interest, this return must be postmarked no later than the 20th, even if no
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tax is due. Electronic Funds Transfer (EFT) filers, please see instructions.
License No.
Collection Period Ending
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Total Due
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With Return
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Line 17 $ ______________________
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Check here if you transmitted funds electronically.
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