Form Dr-228 - Documentary Stamp Tax Return For Nonregistered Taxpayers' Unrecorded Documents

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DR-228
Documentary Stamp Tax Return For
R. 10/02
Nonregistered Taxpayers’ Unrecorded Documents
This return is for nonregistered taxpayers only and is due no later than the 20th
of the month following the execution month. See instructions on reverse side.
RDS validation only.
Do not write or type in this space.
FEIN
SSN (if no FEIN):
■ ■
■ ■-■■■■■■■
■■■■■■■
■■■
■■■-■ ■
■ ■-■■■■
■■■■
Execution Month:
Handwritten Example
Typed Example
■ ■
■ ■
■■■■
■■■■
0 0 0 0 0 1 1 1 1 1 2 2 2 2 2 3 3 3 3 3 4 4 4 4 4 5 5 5 5 5 6 6 6 6 6 7 7 7 7 7 8 8 8 8 8 9 9 9 9 9
0123456789
/
Taxpayer name ______________________________________
Use black ink.
MO
YEAR
Mail return and check payable to:
Street address _______________________________________
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
City/State/ZIP _______________________________________ County ____________________
TALLAHASSEE FL 32399-0150
1. Notes and Other Written Obligations to Pay Money
Tax Rate: $.35 per $100 or fraction thereof. Florida law limits the maximum tax due on unsecured notes and other written obligations to $2,450.
Execution Date
Lender
Borrower
Amount Financed
Documentary Stamp Tax
$
$
$
$
$
$
$
$
1. Subtotal:
$
2. Bonds
Tax Rate: $.35 per $100 or fraction thereof.
Date Issued
Issuer
Purchaser
Amount of Bonds
Documentary Stamp Tax
$
$
$
$
$
$
$
$
2. Subtotal:
$
3. Transfers of Interest of Real Property and/or Unrecorded Deeds
Tax Rate: $.70 per $100 or fraction thereof; Miami-Dade County is $.60 per $100 and $.45 per $100 (surtax) or fraction thereof.
Execution Date
Grantee
Grantor
Consideration
*Miami-Dade County Surtax Documentary Stamp Tax
$
$
$
$
$
$
$
$
$
$
$
$
3. Subtotal:
a.$
b.$
*Calculate on any transfer of real property in Miami-Dade County that is other than a single-family residence.
***DO NOT DETACH COUPON***
Florida Department of Revenue
DR-228
EXECUTION MONTH
For DOR
Documentary Stamp Tax Return For
R. 10/02
M
M Y Y Y Y
use only
Nonregistered Taxpayers’ Unrecorded Documents
US DOLLARS
CENTS
,
4.Miami-Dade County Surtax Due
(from subtotal Line 3a)
Taxpayer name ________________________________________________________________
,
5.Documentary Stamp Tax Due
Street address _________________________________________________________________
(from sum of subtotal Lines 1, 2, and 3b)
,
City/State/ZIP ________________________________________________________________
6.Penalty
(see instructions)
County ______________________________________
,
7.Interest
(see instructions)
I hereby certify that this return has been examined by me and to
,
8.Total Amount Due with Return
the best of my knowledge is a true and correct return.
(sum of Lines 4 through 7)
_________________________________________________________
_____________
-
Signature of taxpayer
Date
FEIN
_______________________________________ (_______) _______________________
-
-
Title
Phone number (include area code)
SSN (if no FEIN)
9000090999999990001902503607099999999990999902

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