Form Dr-601c - Florida Intangible Personal Property Tax Return For Corporation, Partnership, And Fiduciary Filers - 2001 Page 2

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DR-601C
R. 01/01
Important Information Requested
1.
If this is your first time filing an Intangible Tax Return, please complete the following:
M M D D Y Y Y Y
Date of incorporation ...........................
Month Day
Year
0 6 1 0 2 0 0 0
Example:
M M D D Y Y Y Y
Date you began business in Florida ....
Filing Status
2.
If your filing status has changed, please enter the previous
FEIN, the new FEIN, and the new filing status:
Fiduciary
Final Return
Affiliated Group of Corporations
Information Return Only
(Must Submit List, See Page 10)
(Filed Under
Partnership
SSN____________________)
Previous FEIN
New FEIN
Corporation
Trustee
3.
If your name/mailing address has changed or is incorrect, please complete the following:
Name of Taxpayer(s) ________________________________________________________________________________________
Attention or In Care of _______________________________________________________________________________________
New Address ______________________________________________________________________________________________
City/State/ZIP _____________________________________________________________________________________________
Telephone Number( _____ ) _____________________________ Signature ____________________________________________
Tax Credit Worksheet (see Instructions, Page 6)
A.
Intangible Tax Paid to Another State (see Instructions). Identify State:
A.
B.
Cleanup of Contaminated Dry-Cleaning/Brownfield Sites (if credit not taken on F-1120)
B.
601-C
14. Total Credit (Line A plus Line B). Enter on Schedule A, Line 8
14.
Information Notices
(If none of the boxes below are applicable, disregard this section.)
Check the appropriate box below:
(see Information Notices on Page 9 of the Instructions)
1.
We hereby certify this corporation is not required to file a notice of stock value because its shares are regularly listed on a public
exchange or traded over the counter.
2.
We hereby certify this corporation's Florida stockholders were notified of the just value per share on or before April 1, for all of its
shares that are not publicly traded or are restricted. A copy of the value notice is included with this return.
3.
We hereby certify this corporation elects to pay the intangible tax as agent for its Florida stockholders and certify all Florida
stockholders were notified of this election on or before April 1. A copy of the notice is included with this return. The corporation
has included the value of its shares held by Florida residents on this tax return.
4.
We hereby certify this corporation has no Florida stockholders.
Note: If checking box 2 or 3, and your company’s stock is not regularly traded on the open market, make sure that the value reported for the
company’s shares is a reasonable market value. Book value alone is generally NOT a good estimate for market value.
Neither foreign currency nor funds drawn on other than U.S. banks will be accepted.
State law requires a service fee for returned checks or drafts of $15.00 or 5% of the face amount, whichever is greater, not to exceed
$150.00 [s. 215.34(2), F.S.].

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