Florida Department of Revenue
DR-1214
Application for Temporary
R. 07/96
Tax Exemption Permit
This application is to be completed for EACH project for which exemption from Florida sales and/or use tax is claimed under Section
212.08(5)(b), F.S., and Rule 12A-1.096, F.A.C.
1. (a)
Business Name: _____________________________________________________________________________________
(b)
Mailing Address: _____________________________________________________________________________________
City, State, Zip: __________________________________________________________________________________________________
(c)
Florida Sales Tax Number (required): _____________________________________________________________________
(d)
FEIN or SSN (required): _______________________________________________________________________________
(e)
WAGES Registration Number (required): __________________________ Effective Date: ___________________________
(f)
Telephone Number: ( ________ ) ______________________ Fax Number: ( ________ ) __________________________
(g)
Name, address, position, and telephone number of person or persons to be contacted regarding this project. (Form DR-835,
Power of Attorney, must be submitted if not an officer or employee of the business.)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
2. (a)
Project Location (Address): ____________________________________________________________________________
__________________________________________________________________________________________________
(b)
Project Number (If Applicable): __________________________________________________________________________
(c)
Project Description (Explain in full detail the scope of work to be accomplished in this project including an overview of the
equipment to be purchased or leased.)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
(Attach additional sheet, if necessary)
(d)
What item(s) of tangible personal property will you be manufacturing, processing, compounding, or producing for sale at this
location? ___________________________________________________________________________________________
__________________________________________________________________________________________________
(e)
What types of businesses or customers will be purchasing your product? _________________________________________
__________________________________________________________________________________________________
(f)
Approximate Beginning Date of Construction (If construction is necessary): _______________________________________
(g)
Estimated Completion Date of Construction (If construction is necessary): ________________________________________
(h)
Approximate Beginning Date of Machinery and Equipment Purchases: __________________________________________
(i)
Estimated Beginning Date of Manufacturing Operations (New Business): _________________________________________
(j)
Estimated Date of Project Completion (Expanding Business): __________________________________________________
(k)
Total Project Cost: ____________________________________________________________________________________
(l)
Total cost of machinery and equipment qualifying for the exemption, “Section 38 property” as defined in s. 48(a)(1)(A)
and (B)(i) of the Internal Revenue Code: __________________________________________________________________
3. (a)
Is the product on Line 2(d) or a similar product presently being produced at the above project location?
Yes
No
(b)
Is the product on Line 2(d) or a similar product presently being produced at another location or locations of this company in
Florida?
Yes
No
(c)
If yes, name, location or locations: _______________________________________________________________________
__________________________________________________________________________________________________
(d)
Has the business closed down one of its plants or product line in one of its Florida plant(s) that was making the same or similar
item to open up the plant or product line at this location?
Yes
No
(e)
Exemptions claimed as:
New Business
Expansion
Spaceport Activity