Form Dr-15mo - Out-Of-State Purchase Return - Florida Department Of Revenue

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Out-of-State Purchase Return
DR-15MO
R. 01/16
Have You Bought or Received Merchandise
Rule 12A-1.097
Florida Administrative Code
Effective 01/16
from Out of State or through the Internet?
You Might Owe Florida Tax.
File and Pay Online - It’s fast, easy, and secure!
Visit and look under “Current Topics” for “Shopping Online? Make Sure You Pay Tax.” To pay online, you will
need to enter your bank account and contact information.
Instructions for Out-of-State Purchase Return
Line 1.
Enter the total amount paid for all taxable goods you
a floating rate of interest for late payments of taxes.
purchased through the Internet, from out of state, in
Interest rates, including daily rates, are published
another country, or through mail-order companies
in Tax Information Publications that are updated
during the quarter for which you are filing this return.
semiannually on January 1 and July 1 each year and
posted online at .
Do not include purchases on which Florida sales or
Line 6.
use tax has been paid.
Enter the total tax and interest due (Line 4 plus
Line 5).
Line 2.
Multiply Line 1 by .06. If the result is less than $1, do
not complete or mail this return.
Sign and date the back of the return.
Mail your return with payment to:
Line 3.
If you paid sales tax on these goods to another state,
the District of Columbia, or a U.S. territory, enter the
Florida Department of Revenue
amount paid on Line 3. You cannot claim credit for
5050 W Tennessee St
tax paid in a foreign country.
Tallahassee FL 32399-0100
Line 4.
*Social security numbers (SSNs) are used by the Florida Department of
Subtract Line 3 from Line 2 and enter the result on
Revenue as unique identifiers for the administration of Florida’s taxes.
Line 4. If the result is less than $1, do not complete
SSNs obtained for tax administration purposes are confidential under
or mail this return.
sections 213.053 and 119.071, Florida Statutes, and not subject to
Line 5.
If your return and payment are late, you owe interest
disclosure as public records. Collection of your SSN is authorized under
state and federal law. Visit our Internet site at
on the Total Tax Due (Line 4). Florida law provides
and select “Privacy Notice” for more information regarding the state and
federal law governing the collection, use, or release of SSNs, including
Use black ink. Example A - Handwritten Example B - Typed
authorized exceptions.
0123456789
0 1 2 3 4 5 6 7 8 9
Detach Here
Florida Department of Revenue Out-of-State Purchase Return
DR-15MO
R. 01/16
Do not use this form if you are a registered Florida sales tax dealer or if you purchased an aircraft or boat.
DR-15MO
CENTS
Purchases made for quarter ending
DOLLARS
(see Quarterly Schedule)
,
,
1. Amount Purchased
Social Security Number*
(Enter total from Schedule of
Purchases)
,
Federal Employer ID No.
2. Tax
(Line 1 x .06)
,
Purchaser’s Name _______________________________________________________
(Print or Type)
3. Less Credits
(Taxes paid)
,
Address ________________________________________________________________
4. Total Tax Due
City ____________________________________ State ________ZIP ______________
(Line 2 minus Line 3)
,
5. Interest
,
6. Amount Due
(Total of Lines 4 and 5)
87XX 0 99999999 0001003087 1 4000001189 2797 4

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