Form Dr-1 - Business Application
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4DR-1
Reason for filing this Application:
1.
R. 06/99
A. This application is for (check all that apply):
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Fee is $5.00
Sales Tax (collecting tax on sales of merchandise/services) —
Use Tax (only paying tax on items purchased tax-free that
No fee
are used in your business) —
No fee
Gross Receipts Tax (Telecommunications and Utilities) —
No fee
Documentary Stamp Tax —
Fee is $30.00
Dry-cleaning Sales Tax on Gross Receipts —
B.
This is for a (check one):
New business — If so, is this your first time doing business in Florida?
Yes
No
Additional location
Change of:
Ownership
Legal Entity or
County Location; as of (enter date: MM-DD-YYYY)
List old Sales and Use Tax Registration Number
C.
If this is a seasonal business, list your active business months.
Opening month:
Closing month:
2.
Beginning of
Month
Day
Year
Business Activity:
Date this business location became or will become liable to collect and remit Florida sales and use tax.
If you have been in
business for more than 30 days prior to registering, visit your nearest Department of Revenue service center immediately to settle
your tax liability.
Do not use incorporation date unless that is the date your business became liable for the tax. For rental
property, report the date the location became taxable as a result of the tenant occupying the unit.
BUSINESS INFORMATION
3. Business Name: business, trade, or fictitious (d/b/a) name.
Business Telephone:
4. Owner Name: legal name of individual, principal partner, or corporation.
Owner Telephone:
5. Business Location: complete physical address of business or real property. Home-based businesses and flea market/craft show
FAX #:
vendors must use their home address. A post office box or rural route number is not acceptable.
City/State/ZIP:
County:
Is business located within city limits?
Yes
No
6. Mail to the Attention of:
Agent’s Telephone:
Address: address where you want us to mail your tax forms and correspondence. If an agent will be receiving the rent, place the agent’s business address in this section.
City/State/ZIP:
County:
Would you like to receive
E-mail address:
Website URL:
correspondence via e-mail?
Yes
No
7.
If you have a Consolidated Sales Tax Number and want to link this business location, please complete the following:
(Does not apply to documentary stamp tax applicants)
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Consolidated registration name on record with the Florida Department of Revenue.
(Consolidated Sales Tax Number)
If you want to obtain a new consolidated number contact the Department and request Form DR-1CON.
8.
Identification Number - If a Federal Employer Identification Number is not required for the entity, the Social Security Number of the owner will
be accepted. This number is required for purposes of identification in order to properly administer the tax laws of Florida. Pursuant to federal
law, this number will not be disclosed to any other party.
FEIN
SSN
If you do not have an FEIN, is it
applied for
not required?
To apply for an FEIN, call the IRS at 1-800-829-1040.
FOR DOR OFFICE USE ONLY
DOR
Office Code
MO QU SA AN SE
SIC
Kind Code
Sales and Use Tax #
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