Form Dr-15c - Sales And Use Tax Return - 2011
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1
2DR-15CS
Sales and Use Tax Return
R. 01/11
Rule 12A-1.097
Florida Administrative Code
Effective 01/11
Please complete this return.
Attach your check or money order and mail to:
Florida Department of Revenue
5050 W. Tennessee Street
Tallahassee, FL 32399-0120
If the Department mails you a personalized form,
instructions will be enclosed for completing your
2011 return. If you get a form from the Internet
or one of our offices and need instructions, you
may visit us online at
or call 800-352-3671 (TDD at 800-367-8331
or 850-922-1115). Make certain you read the
instructions for each line of the return before
completing your 2011 Sales and Use Tax return.
SALES AND USE TAX RETURN
HD/PM Date:
/
/
DR-15 R. 01/11
Certificate Number:
Florida
1. Gross Sales
2. Exempt Sales
3. Taxable Amount
4. Tax Collected
.
.
.
.
A. Sales/Services
.
.
B. Taxable Purchases
Include use tax on Internet / out-of-state untaxed purchases
.
.
.
.
C. Commercial Rentals
.
.
.
.
D. Transient Rentals
.
.
.
.
E.
Food & Beverage Vending
.
5. Total Amount of Tax Collected
Check here
Collection Period
Transient Rental Rate:
Surtax Rate:
if donating
.
6. Less Lawful Deductions
collection allowance
.
to education, and
7. Total Tax Due
leave Line 11 blank.
.
8. Less Est Tax Pd / DOR Cr Memo
Name
.
9. Plus Est Tax Due Current Month
Address
.
10. Amount Due
City/St/ZIP
.
11. Less Collection Allowance
.
12. Plus Penalty
.
13. Plus Interest
.
14. Amount Due with Return
Do not write in the space below.
Due:
Late After:
9100 0 20119999 0001003031 8 4999999999 0000 5
Check here if payment was
made electronically.
SALES AND USE TAX RETURN
HD/PM Date:
/
/
DR-15 R. 01/11
Certificate Number:
Florida
1. Gross Sales
2. Exempt Sales
3. Taxable Amount
4. Tax Collected
.
.
.
.
A. Sales/Services
.
.
B. Taxable Purchases
Include use tax on Internet / out-of-state untaxed purchases
.
.
.
.
C. Commercial Rentals
.
.
.
.
D. Transient Rentals
.
.
.
.
E.
Food & Beverage Vending
.
5. Total Amount of Tax Collected
Check here
Collection Period
Transient Rental Rate:
Surtax Rate:
if donating
.
6. Less Lawful Deductions
collection allowance
.
to education, and
7. Total Tax Due
leave Line 11 blank.
.
8. Less Est Tax Pd / DOR Cr Memo
Name
.
9. Plus Est Tax Due Current Month
Address
.
10. Amount Due
City/St/ZIP
.
11. Less Collection Allowance
.
12. Plus Penalty
.
13. Plus Interest
.
14. Amount Due with Return
Do not write in the space below.
Due:
Late After:
9100 0 20119999 0001003031 8 4999999999 0000 5
Check here if payment was
made electronically.
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