Form Dr-602 - Intangible Tax Application For Extension Of Time To File Return

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ATX
Florida Department of Revenue
DR-602
Intangible Tax
R.01/99
Application for Extension of Time to File Return
TAXABLE YEAR _______
TAXPAYER SHOULD COMPLETE SECTION A AND THE FRONT AND BACK OF SECTION C
Section A
(To be Completed by Taxpayer)
For Corporations, Partnerships and Fiduciaries Enter:
For Individual and Joint Accounts Enter:
1 2 3 4
1 2 3 4 5
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4 5
1 2 3 4
1 2 3 4 5
Social Security Number
Federal Employer Identification Number
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4
1 2 3 4 5
Spouse's S.S. Number
1 2 3 4
1 2 3 4 5
1 2 3 4
1 2 3 4 5
1 2 3 4
1 2 3 4 5
Name:
Check type of return to be filed:
DR-601 I
Address:
TOTAL AMOUNT REMITTED
DR-601C
DR-601G
City:
State:
ZIP:
Check here if you transmitted
funds electronically
Section B
(To be Completed by the Department of Revenue)
1.
Your application for extension has been denied due to late filing. Your application was postmarked or signed
after the original due date of June 30.
2.
Your application for extension has been denied. Reasonable cause has not been shown to grant your appli-
cation for an extension of time.
3.
Other (Explanation):
Date
Name and Title
Mail entire application to:
FLORIDA DEPARTMENT OF REVENUE
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0145
*** DO NOT DETACH ***
*** DO NOT DETACH ***
Florida Department of Revenue
DR-602
Intangible Tax
R.01/99
Application for Extension of Time to File Return
Section C
(To be Completed by Taxpayer)
For Corporations, Partnerships and Fiduciaries Enter:
For Individual and Joint Accounts Enter:
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
Social Security Number
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
Federal Employer Identification Number
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
Spouse's S.S. Number
1 2 3 4 5
1 2 3 4 5
An extension of time until September 30, ______ is hereby requested
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
in which to file for taxable year ______.
Check type of return to be filed:
Name:
DR-601I
TOTAL AMOUNT REMITTED
Address:
DR-601C
DR-601G
Check here if you transmitted
City:
State:
ZIP:
funds electronically
061503

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