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Form Dr-602 - Intangible Personal Property Tax-Application For Extension Of Time To File Return - 2005

DR-602

Intangible Personal Property Tax

R. 01/05

Application for Extension of Time to File Return

Taxable year ______________

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

Taxpayer should complete Section A and the front and back of Section C

Section A

(To be completed by taxpayer)

For Individual and Joint Accounts Enter:

For Corporations, Partnerships, and Fiduciaries Enter:

Social Security Number

Spouse's SSN

Federal Employer Identification Number

(if filing a joint return only)

In order to expedite your request for an extension of time to file your return, we

need your Federal Employer Identification Number (FEIN).

Social security numbers are used by the Florida Department of

Revenue as unique identifiers for the administration of Florida’s

Name: ____________________________________________________

taxes. Social security numbers obtained for tax administration

purposes are confidential under sections 213.053 and 119.0721,

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

Address: __________________________________________________

Check type of return to be filed:

____________________________________________________

DR-601 I

TOTAL AMOUNT REMITTED

DR-601C

City: _____________________ State: ________ ZIP: ______________

check one:

corporation

partnership

Check here if you transmitted

fiduciary

funds electronically

DR-601G

Section B

(To be completed by the Department of Revenue)

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

marked 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 ***