Form Dr-600013 - Request For Verification That Customers Are Authorized To Purchase For Resale - 2000

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DR-600013
Request for Verification that Customers are
N. 01/00
Authorized to Purchase for Resale
(Please print or type)
Date of Request: _______________________________________________________________
Name of Your Business: _______________________________________________________________
Name of Contact at Your Business: _______________________________________________________________
The Department of Revenue will return your tape or diskette to the contact/address that you specify.
Return Address: _______________________________________________________________
Street
_______________________________________________________________________________
City
_______________________________________________________________________________
State
_______________________________________________________________________________
ZIP
Telephone Number of Contact: (__________) __________ - __________
Are you sending a diskette or a cartridge tape to the Department of Revenue?
Diskette
Cartridge Tape
Total number of records in the file: _____________________________
Mail the diskette or tape and this completed form to:
Florida Department of Revenue
Production Control
G30 Carlton Building
Tallahassee, Florida 32399-0100
850-488-3516
For DOR Production Control use:
STI26
STI28
Run
to process diskette,
to process tape.
Date the job was started: _________________________
Time the job was started: __________________________
Name of the person who started the job: ______________________________________________________________

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