Form Dr-1 - Business Application Page 2
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4DR-1
BUSINESS INFORMATION CONTINUED
Page 2
9a. Type of Organization - Check one box to enter the type of business. Listed are the definitions of business types:
Corporation - A legal entity created by or under the authority of the laws of a state.
Partnership - Two or more persons or entities that have entered into a voluntary contract.
Trust - A legal entity created by a grantor for the benefit of designated beneficiaries under the laws of the state and the valid trust instrument.
Sole Proprietorship - An individual or individual and spouse.
Professional Association - Any group of professional people organized to practice their profession together.
Other - Any other type of business entity. Please write in (e.g., government, civic organization).
Corporation
Partnership
Trust
Sole Proprietorship
Professional Association
Other (explain) _______________________________________________________________________________________________
/
9b.
If corporation or partnership, provide fiscal year ending date
M M
D D
9c.
Are you an entity required to be registered with the Division of Corporations of the Florida Department of State?
Yes
No
If yes, provide your document/registration number: _____________________________
If your corporation is not registered, you must attach a copy of your Articles of Incorporation as filed with the regulating authority in
your state. Contact the Division of Corporations at (850) 488-9000 for Florida corporation information.
NATURE OF BUSINESS ACTIVITY
10.
Describe your major (more than 50%) business activities that will be subject to tax (please be specific): __________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
NOTE: Documentary stamp tax applicants should skip to question 40. All others must continue with question 11.
11.
What are the products you purchase for resale to your customers or to be included in a finished product you manufacture? ________
_________________________________________________________________________________________________________________
12.
What are your estimated annual receipts from taxable sales and/or rentals?
(check one)
$1,700 or less
between $8,000 and $16,000
$800,000 - up
between $1,700 and $8,000
between $16,000 and $800,000
unable to estimate
13.
Do you sell merchandise? ------------------------------------------------------------------------------------------------------------------- Yes
No
Wholesale (selling for resale purposes)? ------------------------------------------------------------------------------------------ Yes
No
Retail (selling to consumers)? ------------------------------------------------------------------------------------------------------ Yes
No
14.
Do you rent living or sleeping accommodations for 6 months or less to individuals or businesses? ----------------------------- Yes
No
(This includes hotels, motels, time-shares, condominiums, apartments, and trailer parks.)
15.
Do you rent commercial real property to individuals or businesses? ------------------------------------------------------------------ Yes
No
16.
Do you charge admission or membership fees? ------------------------------------------------------------------------------------------ Yes
No
17.
Do you rent equipment or other tangible personal property to individuals or businesses? ----------------------------------------- Yes
No
18.
Do you provide any of the following services?
Pest control for nonresidential buildings ------------------------------------------------------------------------------------------ Yes
No
Cleaning for nonresidential buildings --------------------------------------------------------------------------------------------- Yes
No
Detective ------------------------------------------------------------------------------------------------------------------------------- Yes
No
Protection ------------------------------------------------------------------------------------------------------------------------------ Yes
No
Security alarm system monitoring ------------------------------------------------------------------------------------------------- Yes
No
AMUSEMENT/VENDING
19.
Do you generate sales and remove receipts from amusement or vending machines? ----------------------------------------- Yes
No
If yes, answer the questions in this block.
Food/Beverage vending machines? ------------------------------------------------------------------------------------------------ Yes
No
Vending machines for other products? -------------------------------------------------------------------------------------------- Yes
No
20.
Do you sell food or beverages wholesale to vending machine operators? ------------------------------------------------------------ Yes
No
21a. Are coin-operated amusement machines being operated at your business location? ------------------------------------------------ Yes
No
21b. Do you have a written agreement that requires someone else to obtain
Amusement Machines Certificates for all of the machines? ------------------------------------------------------------------- Yes
No
22a. Do you have a written agreement that specifies who is responsible for obtaining Amusement Machines Certificates? ------- Yes
No
22b. Do you have a written agreement that requires you to obtain
Amusement Machines Certificates for any of the machines? ------------------------------------------------------------------ Yes
No
You must complete an Application for Amusement Machines Certificate (Form DR-18) if:
• you answered NO to Question 21b and have amusement machines on your business location, or
• you answer YES to Question 22b and lease amusement machines.
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