Form Dr-700016 - Florida Communications Services Tax Return - 2002 Page 14
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17DR-700016S
R. 01/02
If you complete Schedule I, then you must also complete
Page 15
Summary of Schedule I. Attach the schedule, summary,
and all other supporting schedules to the tax return.
Summary of Schedule I - State, Gross Receipts, and Local Taxes Due
Business name
Business partner number
F.
G.
H.
State Tax
Gross Receipts Tax
Local Tax
1. Taxable sales
4. Taxable sales
7. Local tax due
(Col. B grand
(Col. C grand
(Enter this
total)
total)
amount on
Page 1, Line 3)
2. State tax rate
.068
5. Gross receipts
.0237
tax rate
3. State tax due
6. Gross receipts
(Enter this
tax due
amount on
(Enter this amount
Page 1, Line 1)
on Page 1, Line 2)
Complete this form, sign it, and mail it with
your DR-700016 if:
The business name (legal entity) changed.
The business was closed.
The business was sold.
To report an address change, submit the
information on the payment coupon (Page 1
of the return).
Closing or Sale of Business or Change of Legal Entity
The legal entity changed on
______/______/______
. If you change your legal entity and are continuing to do business in Florida and the corporation
is registered for communications services tax, you must complete a new Application to Collect and/or Report Tax in Florida (Form DR-1).
The business was closed permanently on
______/______/______
.
Are you a corporation/partnership required to file communications services tax returns?
Yes
No
Business partner
FEIN
number
The business was sold on
______/______/______
. The new owner information is:
Name of new owner:
Telephone number of new owner: (
)
Mailing address of new owner:
City:
County:
State:
ZIP:
Signature of officer (required)
Date
Telephone number (
)
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