Form Dr-1c - Application For Collective Registration For Rental Of Living Or Sleeping Accommodations Page 2

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Taxpayer Service Center Addresses and Telephone Numbers
Clearwater Service Center
Hollywood Service Center
Marianna Service Center
Port Richey Service Center
Arbor Shoreline Office Park
Taft Office Complex
4230 Lafayette St., Ste.D
6709 Ridge Rd., Ste. 300
19337 US Hwy. 19 N, Ste. 200
6565 Taft St., Ste. 400
Marianna, FL 32446-3304
Port Richey, FL 34668-6842
Clearwater, FL 33764-3149
Hollywood, FL 33024-4000
850-482-9518
813-841-4407
813-538-7400
954-967-1000
Miami Service Center
Port St. Lucie Service Center
Cocoa Service Center
Jacksonville Service Center
8175 NW 12th St., Ste. 119
900 E. Prima Vista Blvd., Ste. 300
2428 Clearlake Road, Bldg. M
921 N. Davis St., A-250
Miami, FL 33126-1831
Port St. Lucie, FL 34952-2335
Cocoa, FL 32922
Jacksonville, FL 32209-6829
305-470-5001
561-871-7620
407-504-0950
904-359-6070
Naples Service Center
Sarasota Service Center
Coral Springs Service Center
Key West Service Center
Wilson Professional Center
240 S. Pineapple Ave., Ste. 600
Florida Sunrise Tower
3118 Flagler Ave.
3200 Bailey Lane, Ste. 150
Sarasota, FL 34236-6725
3111 N. University Dr., Ste. 501
Key West, FL 33040-4698
Naples, FL 34105-8523
941-361-6001
Coral Springs, FL 33065-5096
305-292-6735
941-436-1050
954-346-3000
Tallahassee Service Center
Lake City Service Center
Orlando Service Center
2410 Allen Rd.
Daytona Beach Service Center
2651 W. US Hwy 90
Orlando Executive Center
Tallahassee, FL 32312-2603
125 N. Ridgewood Ave., Ste. 301
Lake City, FL 32055-3115
5420 Diplomat Circle
850-488-9719
Daytona Beach, FL 32114-3286
904-758-0420
Orlando, FL 32810-5605
904-254-3901
407-623-1141
Tampa Service Center
Lakeland Service Center
Suite 100
Fort Myers Service Center
230 S. Florida Ave., Ste. 101
Panama City Service Center
6302 E. Dr. Martin Luther King, Jr. Blvd.
2295 Victoria Ave., Ste. 270
Lakeland, FL 33801-5047
651 W. 14th St., Ste. D
Tampa, Florida 33619-1165
Fort Myers, FL 33901-3851
941-499-2260
Panama City, FL 32401-2271
813-744-6344
941-338-2400
850-872-4165
Leesburg Service Center
West Palm Beach Service Center
Gainesville Service Center
734 N. 3rd St., Ste. 117
Pensacola Service Center
2468 Metrocentre Blvd.
2610 NW 43rd St., Ste. 2A
Leesburg, FL 34748-4463
3670-C North L Street
West Palm Beach, FL 33407-5214
Gainesville, FL 32606-7415
352-360-6660
Pensacola, FL 32505-5217
561-640-2800
352-955-2170
850-595-5170
Suggested format for rental property written agreement:
I, _____________________________________________ (Name of Property or Time-Share Period Owner), hereby
authorize _________________________________________________________________ (Name of Agent, Representative,
or Management Company) to act as my agent to rent, lease, let, or grant a license to others to use my described property
(properties) or time-share period (periods) located at _______________________________________________________
(use additional paper, if necessary) and to charge, collect, and remit sales tax levied under Chapter 212, Florida Statutes (F.S.),
to the Department of Revenue. I acknowledge that, by renting, leasing, letting, or offering a license to others to use any transient
accommodations, as defined in Rule 12A-1.061, Florida Administrative Code (F.A.C.), I am exercising a taxable privilege under
Chapter 212, F.S., and as such acknowledge that I am ultimately liable for any sales tax due the State of Florida on such rentals,
leases, lets, or licenses to use. I fully understand that should the State be unable to collect any taxes, penalties, and interest due
from the rental, lease, let, or license to use my property, a warrant for such uncollected amount will be issued and becomes a lien
against my property until satisfied.
Signature of Property Owner/Lessor
Signature of Agent, Representative, or Management Company

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