Form Dr-601i - Florida Intangible Personal Property Tax Return For Individual And Joint Filers - 2006

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2006 Florida Intangible Personal Property Tax Return for Individual and Joint Filers as of January 1, 2006
DR-601I
R. 01/06
Name
Address
City/State/ZIP
Use black ink. Example A - Handwritten Example B - Typed
DoR
/
/
0123456789
0 1 2 3 4 5 6 7 8 9
Use
only
Social security numbers are used by the Florida Department of Revenue as unique identifiers for the
administration of Florida's taxes and are confidential under section 213.053 and 119.0721, Florida
Statutes, and not subject to disclosure as public records.
Check here if:
#1
#2
Social Security Number
Spouse’s Social Security Number
Address or
Spouse is
Amended Return
Joint Individual
(only if filing a joint return)
SSN Incorrect
Deceased
See Instructions,
Filing Status
(see back #4)
(see back #3C)
Page 6
Schedule A
US Dollars
Cents
,
,
,
1. Loans, Notes, and Accounts Receivable
1.
(From Schedule B, Line 12) .......
,
,
,
2. Beneficial Interest in Any Trust
2.
(From Schedule C, Line 13) ........................
,
,
,
3. Bonds
. ...........................................................
3.
(From Schedule D, Line 14)
4. Stocks, Mutuals, Money Market Funds, and Limited
,
,
,
Partnership Interests
4.
(From Schedule E, Line 15) . .........................................
5. Total Taxable Intangible Assets
(Total of Lines 1 through 4)
,
,
,
Also enter on Line 1 of Tax Calculation Worksheet (on back)
5.
. . ...............
6. Total Tax Due
(From Tax Calculation Worksheet, Line 5)
,
,
If Line 6 is less than $60, no payment or return is due. . .............................................
6.
7. Discount
(Jan. or Feb. - 4%; March - 3%; April - 2%; May - 1%; June - 0%; if submitted or
,
postmarked on or before the last day of the discount period. The discount period is not ...................
7.
extended when ending on a Saturday, Sunday, or federal or state holiday. See Instructions, Page 7.)
601-I
,
8. Penalty
........................................................................................
(See Instructions, Page 8.)
8.
,
9. Interest
........................................................................................
(See Instructions, Page 8.)
9.
1 0. ...........................................................................................................................................
FOR DOR USE ONLY
10.
,
,
11. T otal Due
.
11.
(Enter here and on Line 11a of the Coupon below. See Instructions, Page 8.)
Under penalties of perjury, I declare that I have examined this return, accompanying schedules and statements, and it is true, correct, and complete. If prepared by a
person other than the taxpayer, this declaration is based on all information of which the preparer has any knowledge [ss. 199.232(2), 92.525(2), 837.06, F.S.].
Signature of Taxpayer
Date
Signature of Individual or Firm Preparing the Return
Signature of Spouse
Telephone No.
Preparer's SSN or FEIN
Date
( )
Payment Coupon 2006 Florida Intangible Tax
Do Not Detach
DR-601I
Return and payment must be submitted or postmarked no later than June 30, 2006, to avoid penalty
R. 01/06
and interest.
,
,
11a. Total Due From Line 11 . ...................................................................... 11a.
,
,
11b. Less Amount Paid with Extension . ...................................................... 11b.
,
,
11c. Total Due (Line 11a less Line 11b; U.S. funds only) . .......................... 11c.
Total Due cannot be a negative number. If the total due is less than or equal to zero, enter "0".
See instructions for overpayments, page 6.
Enter Social Security number(s) (SSN) below, if not pre-addressed:
Name
SSN #1
Address
Spouse's
City/State/ZIP
SSN #2
(only if filing a joint return)
601-I
0100 0 20060131 0003015031 4 1999999999 0000 6

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