Form Dr-228 - Documentary Stamp Tax Return For Nonregistered Taxpayers' Unrecorded Documents

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Mail return and check payable to:
DR-228
Documentary Stamp Tax Return
FLORIDA DEPARTMENT OF REVENUE
R. 02/00
For Nonregistered Taxpayers’
5050 W TENNESSEE STREET
TALLAHASSEE FL 32399-0150
Unrecorded Documents
This return is for nonregistered taxpayers only. The return is due no later than the 20th of the month following the execution
month. See instructions on reverse side.
RDS Validation Only - Do Not Write or Type in This Space
/
Execution Month:
MO
YEAR
Taxpayer Name: ___________________________________________
Street Address: ____________________________________________
City: _______________________________ County: ___________________ State: ______ ZIP: ____________
FEIN:
or SSN (if no FEIN):
NOTE:
All documents listed must be executed and/or issued in the same month. A separate form must be completed for each month in
•
which a document was executed and/or issued.
Five or more taxable transactions per month requires registration!
•
•
Please attach a copy of this return to each document listed below and retain for your records.
1. Notes and Other Written Obligations to Pay Money
(Tax Rate: $.35 per $100 or fraction thereof)
Execution Date
Lender
Borrower
Amount Financed
Documentary Stamp Tax
$
$
$
$
$
$
$
$
1. Subtotal:
$
2. Stocks and Bonds
(Tax Rate: $.35 per $100 or fraction thereof)
Date Issued
Issuer
Purchaser
Amount of Bonds or Shares
Documentary Stamp Tax
$
$
$
$
$
$
$
$
2. Subtotal:
$
3. Transfers of Interest of Real Property and/or Unrecorded Deeds
(Tax Rate: $.70 per $100 or fraction thereof; Miami-Dade County is $.60 per $100 and $.45 per $100 (surtax) or fraction thereof)
Execution Date
Grantee
Grantor
Consideration
*Miami-Dade County Surtax Documentary Stamp Tax
$
$
$
$
$
$
$
$
$
$
$
$
3. Subtotal:
a.$
b.$
*Calculate on any transfer of real property in Miami-Dade County that is other than a single-
family residence.
4. Miami-Dade County Surtax Due (From subtotal line 3a)
$
5. Documentary Stamp Tax Due (From sum of subtotal lines 1, 2 and 3b)
$
6. Penalty (See instructions)
$
7. Interest (See instructions)
$
8. Total Amount Due with Return (Sum of lines 4 through 7)
$
I hereby certify that this return has been examined by me and to the best of my knowledge is a true and correct return.
________________________________________________________________________________________
____________________________
Signature of Taxpayer
Date
_________________________________________________________
(________) ________________________________________________
Title
Phone Number

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