Property Management Application - Brevard County Tax Collector Form

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Official Use Only 
Account #: __________________ 
BREVARD COUNTY TAX COLLECTOR
RE #:_______________________ 
P. O. Box 2500 Titusville, FL 32781
(321) 264-6969 Fax: (321) 264-5149
Date Entered: _______________ 
Application for Brevard County Tourist Development
FOR PROPERTY MANAGEMENT COMPANIES ONLY
OWNER INFORMATION:
______________________________________________
________________________________________________
Email Address: ___________________________________
Business Name (if applicable)
Phone Number
Fax
*By providing an email address, I authorize the Tax Collector's
______________________________________________
Email Address: ___________________________________
office to send reminders and delinquent notices via email.
Owner(s) Name(s)
______________________________________________
State Sales Tax ID #: ______________________________
Contact Person Remitting Tax
______________________________________________
Federal ID #: ____________________________________
Mailing Address
______________________________________________
Fiscal Tax Year Used: _____________________________
City
State
Zip
(January- December, October-September, etc…)
Number of Units Managed: _________________________
Start Date of Rental:
_________________________
Phone Number
Fax
Name of Bank: _________________________________
Bank Account # __________________________________
RENTAL PERIOD:
th
_______ MONTHLY: Tax return and payments are due by the 20
of the month following the month the tax was collected (ex.
January tax period is due by February 20, The February tax period is due by March 20, etc…).
The
ONLINE PAYMENT ACCESS:
Once your Tourist Tax Account has been issued, you will be mailed a blank return form along with information
containing your account number. After you receive this, please visit our website, , to register your
account to file and pay Tourist Tax returns online. Note: Per F.S. 212.12, a collection allowance of 2.5% of the first
$1200.00 of taxes collected shall be allowed ONLY when filed and paid electronically.
IMPORTANT:
th
* Your remittance must be postmarked on or before the 20
of the month following the month in which the payment was collected.
A penalty of 10%, minimum of $50.00, plus interest will be assessed on delinquent payments. If no tax is
collected for a particular filing period, you are still required to file a zero tax return for that filing period.
* Complete and accurate records of all sales made, all taxes collected, and any pertinent documents should be kept and made
available during business hours for inspection and examination by the Tax Collector or an authorized representative of
the Tax Collector’s Office. These records are to be preserved for a period of at least three (3) years.
* A Tourist Development payment coupon will be forwarded upon receipt of this application.
* Please complete the “Properties Managed by ________” form for each property that is managed by your company. Please
make copies of this form as needed. In the future, anytime a new property is managed by your company, this form will
need to be remitted to the Tax Collector’s Office at least 7 days before the delinquent date of the period the property
was added.
* A blank Tourist Tax Return is available on our website.
Applicant’s Signature: _______________________________________________
Date: __________________________
Revised 6/2016 
Email Application

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