Form Dr-144es - Declaration Of Estimated Gas And Sulfur Production Tax

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*** Detach Coupon ***
DR-144ES
Florida Department of Revenue
R. 08/08
Office use
Y
M
M
D
D Y
only
Declaration of Estimated Gas and Sulfur Production Tax
Installment
#_____
0 1 2 3 4 5 6 7 8 9
0123456789
If typing, type through the boxes.
you must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
FEIn
M
M
D
D Y
Y
Quarter Ending
name
M
M
D
D Y
Y
Applied Month
address
City/St/ZIP
Payment amount
(See reverse side)
US DOLLARS
CENTS
Do Not Write
Check here if you transmitted
make checks payable and mail to:
Below this Line
funds electronically
Florida Department of Revenue
5050 W Tennessee St
Tallahassee FL 32399-0135
9100 0 20089999 0012037033 3 3999999999 0000 2
*** Detach Coupon ***
DR-144ES
Florida Department of Revenue
R. 08/08
Office use
M
M
D
D Y
Y
only
Declaration of Estimated Gas and Sulfur Production Tax
Installment
#_____
0 1 2 3 4 5 6 7 8 9
0123456789
If typing, type through the boxes.
you must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
FEIn
M
M
D
D Y
Y
Quarter Ending
name
M
M
D
D Y
Y
Applied Month
address
City/St/ZIP
Payment amount
(See reverse side)
US DOLLARS
CENTS
Do Not Write
Check here if you transmitted
make checks payable and mail to:
Below this Line
funds electronically
Florida Department of Revenue
5050 W Tennessee St
Tallahassee FL 32399-0135
9100 0 20089999 0012037033 3 3999999999 0000 2
*** Detach Coupon ***
DR-144ES
Florida Department of Revenue
R. 08/08
Office use
M
M
D
D Y
Y
only
Declaration of Estimated Gas and Sulfur Production Tax
Installment
#_____
0 1 2 3 4 5 6 7 8 9
0123456789
If typing, type through the boxes.
you must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
FEIn
M
M
D
D Y
Y
Quarter Ending
name
M
M
D
D Y
Y
Applied Month
address
City/St/ZIP
Payment amount
(See reverse side)
US DOLLARS
CENTS
Do Not Write
Check here if you transmitted
make checks payable and mail to:
Below this Line
funds electronically
Florida Department of Revenue
5050 W Tennessee St
Tallahassee FL 32399-0135
9100 0 20089999 0012037033 3 3999999999 0000 2

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