Form Dr 15ez - Sales And Use Tax Return

DR-15EZ

Florida Department of Revenue

R. 01/01

Sales and Use Tax Return

DOR USE ONLY

FEIN/SSN

SIC

Certificate Number

Collection Period

postmark or hand delivery date

Location/Mailing Address Changes:

Location Address

New Location Address:

_________________________________________

___________________________________________________________

Telephone Number:

( _________ ) ________________________________

New Mailing Address:

__________________________________________

___________________________________________________________

Amount Due From Line 9

On Reverse Side

Payment is due on the 1st

Surtax Rate

Electronic Funds Transfer:

and LATE if postmarked

Check here if payment was transmitted electronically.

or hand delivered after

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Parent category: Financial