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DR-602

Intangible Personal Property Tax

R. 05/06

Application for Extension of Time to File Return

taxable year:

Save processing time and dollars, please apply by phone (800-550-6713).

For Individual and Joint Accounts Enter:

Taxpayer should complete Section A and Section C

check type of return to be filed:

Section A

(To be completed by taxpayer)

Dr-601 I

Dr-601c (check one):

corporation

partnership

fiduciary

For Corporations, Partnerships, and Fiduciaries:

Social Security number

in order to expedite your request for an extension of time to file your

(if no Fein)

return, we need your Federal employer identification number (Fein).

Federal employer

Spouse's SSn

identification number

(if filing a joint return only)

Social security numbers are used by the Florida Department of

name: ____________________________________________________

Revenue as unique identifiers for the administration of Florida’s

taxes. Social security numbers obtained for tax administration

address: __________________________________________________

purposes are confidential under sections 213.053 and 119.0721,

Florida Statutes, and not subject to disclosure as public records.

____________________________________________________

uS DollarS

centS

tax Due

city: _____________________ State: ________ Zip: ______________

check here if you transmitted funds electronically

Section B

(to be completed by the Department of revenue)

Your application for extension has been denied due to late filing. Your application was

postmarked or signed after the original due date of June 30.

other (explanation)

Date

name and title

Mail entire application to:

Florida Department of revenue

5050 W tennessee St

tallahassee Fl 32399-0140

*** Do not Detach ***

Intangible Personal Property Tax

Application for Extension of Time to File Return

Section C

(To be completed by taxpayer)

DR-602

R. 05/06

0 1 2 3 4 5 6 7 8 9

0123456789

if typing, type through the boxes.

You must write within the boxes.

(example)

For Corporations, Partnerships, and Fiduciaries:

Write your numbers as shown and enter one number per box.

in order to expedite your request for an extension of time to file your

return, we need your Federal employer identification number (Fein).

check type of return to be filed:

Federal employer

Dr-601 I

Dr-601c (check one):

corporation

partnership

fiduciary

identification number

Social Security number

(if no Fein)

DR-602

Name

Spouse's SSn

Address

(if filing a joint return only)

City/St/ZIP

taxable year:

uS DollarS

centS

under penalties of perjury, i declare that i have been authorized by the above-named taxpayer to make this

tax Due

application, and that to the best of my knowledge and belief the statements herein are true and correct:

Sign here: _____________________________________ Date: _______________

check here if you transmitted funds electronically

Make checks payable and mail to:

FloriDa Department oF revenue

0100 0 99999999 0003015006 0 9999999999 0000 0

5050 W tenneSSee St

tallahaSSee Fl 32399-0140

Form Dr-602 - Intangible Personal Property Tax - Application For Extension Of Time To File Return

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