Form F-1120es - Change Of Address Or Business Name Page 3
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1
2
3Florida Department of Revenue — Corporate Income Tax
F-1120ES
R. 01/00
Declaration/Installment of Florida Estimated Income/Franchise and/or
Installment 2
Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2000
0 1 2 3 4 5 6 7 8 9
0123456789
You Must Write Within the Boxes.
If Typing, Type Through the Boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
FEIN
Taxable
M
M
Y Y
Year End
Estimated Tax Payment
Name
(See Reverse Side)
Address
US DOLLARS
CENTS
Address
City/State/ZIP
Check here if you transmitted
Office Use
M
M
D
D Y
Y
funds electronically
Only
Make checks payable and mail to:
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0135
Florida Department of Revenue — Corporate Income Tax
F-1120ES
R. 01/00
Declaration/Installment of Florida Estimated Income/Franchise and/or
Installment 3
Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2000
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
Taxable
M
M
Y Y
Year End
Estimated Tax Payment
Name
(See Reverse Side)
Address
US DOLLARS
CENTS
Address
City/State/ZIP
Check here if you transmitted
Office Use
Y
M
M
D
D Y
funds electronically
Only
Make checks payable and mail to:
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0135
Florida Department of Revenue — Corporate Income Tax
F-1120ES
R. 01/00
Declaration/Installment of Florida Estimated Income/Franchise and/or
Installment 4
Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2000
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
Taxable
M
M
Y Y
Year End
Estimated Tax Payment
Name
(See Reverse Side)
Address
US DOLLARS
CENTS
Address
City/State/ZIP
Check here if you transmitted
Office Use
Y
M
M
D
D Y
funds electronically
Only
Make checks payable and mail to:
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0135
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