Purchases By Homes For The Aged Are No Longer Subject To Communications Services Tax Form (Page 2 of 2) in pdf

Purchases By Homes For The Aged Are No Longer Subject To Communications Services Tax Form Page 2

Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are

true.

_________________________________________________________________________

AUTHORIZED SIGNATURE ON BEHALF OF THE EXEMPT HOME FOR THE AGED

_________________________________________________________________________

PRINTED NAME OF AUTHORIZED SIGNATORY AND TITLE

_________________________________________________________________________

NAME OF THE EXEMPT HOME FOR THE AGED

_________________________________________________________________________

ADDRESS OF EXEMPT HOME FOR THE AGED

Reference: Chapter 2003-254, Laws of Florida; Section 202.125, Florida Statutes.

FOR MORE INFORMATION

This document is intended to alert you to the requirements contained in Florida laws and administrative

rules. It does not by its own effect create rights or require compliance.

For forms and other information, visit our site at Or call Taxpayer Services,

Monday through Friday, 8:00 a.m., to 7:00 p.m., ET, at 800-352-3671 (for Florida residents only), or

850-488-6800

Hearing- or speech-impaired persons should call our TDD at 1-800-367-8331 or 850-922-1115.

For a detailed written response to your questions, write the Florida Department of Revenue, Taxpayer

Services, 1379 Blountstown Highway, Tallahassee, FL 32304-2716.

To receive a fax copy of a form, call 850-922-3676 from your fax machine telephone.

Purchases By Homes For The Aged Are No Longer Subject To Communications Services Tax Form Page 2