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Form Dr-248 - Alternative Fuel Use Permit Application, Renewal, And Decal Order Form - 2012 Page 4

DR-248

R. 11/11

Page 3

How to Complete the Alternative Fuel Use Permit—Application and Decal Order Form (continued)

Proration Factor

10. To determine the total fees due, multiply the annual fees by the

Select the appropriate proration factor. A motor vehicle owner

proration factor. Enter the result in the Total Fees Due box.

who applies for the decal:

11. Complete and sign the application.

• After March 31 will pay three-fourths (.75) of the fee.

12. Send your check, made payable to the Florida Department of

• After June 30 will pay one-half (.50) of the fee.

Revenue, along with this application to:

• After September 30 will pay one-fourth (.25) of the fee.

Account Management Fuel Unit

Florida Department of Revenue

If you require additional decals during the year, your fee and

PO Box 6480

eligibility for prorated decals will be based on the postmark

Tallahassee, FL 32314-6480

date of your application. Enter the proration factor in the

800-352-3671

appropriate box. (Prorated fees are defined by section

206.877(2), F.S.)

Form Dr-248 - Alternative Fuel Use Permit Application, Renewal, And Decal Order Form - 2012 Page 4