Form F-7004 - Change Of Address Or Business Name - Florida Department Of Revenue

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Change of Address or Business Name
_ _ - _ _ _ _ _ _ _
FEIN of Entity
Complete this form, sign it, and mail it to the Department if:
CHANGE
the address below is not correct
IN
the business location changes
Business
Location____________________________________________________
New
the corporation name changes
Location
Address
City_______________________________State_______ZIP__________________
Mail to:
FLORIDA DEPARTMENT OF REVENUE
Business Telephone (_______)
___________________County________________
5050 W TENNESSEE ST
In Care
of__________________________________________________________
TALLAHASSEE FL 32399-0100
New
Mailing
Address_____________________________________________________
Mailing
Address
City_______________________________State_______ZIP__________________
Owner’s Telephone (_______)
___________________County_________________
New
Business
Name
DBA______________________________________________________________
New
Corporation
________________________________________________________________
Name
_______________________________________________
Signature of Officer (Required)
Date
Florida Department of Revenue - Corporate Income Tax
Make checks payable and mail to:
Florida Tentative Income / Franchise and Emergency Excise Tax
F-7004
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
Return and Application for Extension of Time to File Return
R. 01/00
TALLAHASSEE FL 32399-0135
You Must Write
If Typing, Type
0 1 2 3 4 5 6 7 8 9
0123456789
(example)
(example)
Within the Boxes.
Through the Boxes.
Write your numbers as shown and enter one number per box.
FEIN
Taxable Year End:
Corporation Partnership
Name
FILING STATUS
M
M
Y
Y
(Mark "X" in
Address
one box only)
Address
US DOLLARS
CENTS
City/State/ZIP
Tentative Tax Due
(See Reverse Side)
Under penalties of perjury, I declare that I have been authorized by the above-
named taxpayer to make this application, that to the best of my knowledge and
Just Value
belief the statements herein are true and correct:
Intangible Tax Notice
$
Sign
(Enter “0,” “1,” or “2”)
Per Share
Here: ____________________________________
Date: ____________________________________
Check here if you transmitted
funds electronically
Florida Department of Revenue — Corporate Income Tax
F-1120ES
R. 01/00
Declaration/Installment of Florida Estimated Income/Franchise and/or
Installment 1
Emergency Excise Tax for Taxable Year Beginning on or After January 1, 2000
0 1 2 3 4 5 6 7 8 9
0123456789
You Must Write Within the Boxes.
If Typing, Type Through the Boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
FEIN
Taxable
M
M
Y Y
Year End
Estimated Tax Payment
Name
(See Reverse Side)
Address
US DOLLARS
CENTS
Address
City/State/ZIP
Check here if you transmitted
Office Use
M
M
D
D Y
Y
funds electronically
Only
Make checks payable and mail to:
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0135

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