Form Dr-1 - Application To Collect And/or Report Tax In Florida (2001) Page 3
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5DR-1
SECTION A — BUSINESS INFORMATION (CONT’D.)
R. 08/01
Page 3
16.
Does your business activity include (check all that apply):
Placing and operating vending machines at business locations
Sales of property or goods at retail (to consumers)?
belonging to others?
Sales of property or goods at wholesale (to registered dealers)?
Purchasing items to be included in a finished product assembled or
Sales of secondhand goods?
manufactured for sale?
Rental of commercial real property to individuals or businesses?
Providing any of the following services? (Check all that apply.)
Rental of transient living or sleeping accommodations (for six months or less)?
Pest control for nonresidential buildings
Rental of equipment or other property or goods to individuals or businesses?
Cleaning services for nonresidential buildings
Renting/leasing motor vehicles to others?
Detective services
Repair or alteration of tangible personal property?
Protection services
Charging admission or membership fees?
Security alarm system monitoring
Placing and operating coin-operated amusement machines at business locations
belonging to others?
Purchasing items that were not taxed by the seller at time of purchase?
Using dyed diesel fuel for off-road purposes?
17.
What products, services, or communications services do you purchase for resale?
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
SECTION B — SALES AND USE TAX ACTIVITY
COIN-OPERATED AMUSEMENT MACHINES
18.
Are coin-operated amusement machines being operated at your business location? If yes, answer question 19. .........
Yes
No
19.
Do you have a written agreement that requires someone other than yourself to obtain amusement machine
certificates for any of the machines at your location? If yes, provide their information below. ................................................
Yes
No
______________________________________________________________________________________________________________
Name
Address
Telephone number
NOTE: You must complete an Application for Amusement Machine Certificate (Form DR-18) if you answered
YES to question 18 and NO to question 19.
CONTRACTORS
20.
Do you improve real property as a contractor? If yes, answer questions 21-23. ..............................................................
Yes
No
21.
Do you sell tangible personal property at retail? .......................................................................................................................
Yes
No
22.
Do you purchase materials or supplies from vendors located outside of Florida? ....................................................................
Yes
No
23.
Do you fabricate or manufacture any building component at a location other than contract sites? ..........................................
Yes
No
MOTOR FUEL
24.
Do you sell any type of fuel or use off-road, dyed, diesel fuel? If yes, answer questions 25 and 26. ...............................
Yes
No
25.
a. Do you make retail sales of gasoline, diesel fuel, or aviation fuel at posted retail prices? ..................................................
Yes
No
b. If yes to #25a, does this business exist as a marina? ............................................................................................................
Yes
No
c. If yes to #25a, provide your Florida Department of Environmental
Protection facility identification number for this location.
26.
Do you use dyed diesel fuel for off-road purposes that was not taxed at the time of purchase? ...............................................
Yes
No
SECTION C — SOLID WASTE FEES
27.
Do you sell tires or batteries, or rent/lease motor vehicles to others? If yes, answer questions 28-30. ...........................
Yes
No
28.
Do you make retail sales of new tires for motorized vehicles (either separately or as a part of a vehicle)? .............................
Yes
No
29.
Do you make retail sales of new or remanufactured lead-acid batteries sold separately or as a component part of
another product such as automobiles, golf carts, boats, etc.? ....................................................................................................
Yes
No
30.
Are you in the business of renting or leasing vehicles that transport fewer than nine passengers
to individuals or businesses? ......................................................................................................................................................
Yes
No
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