DR-600013
Request for Verification that Customers are
R. 06/08
Authorized to Purchase for Resale
TC
Rule 12A-1.097
Florida Administrative Code
Effective 09/09
(Please print or type)
Date of Request: _______________________________________________________________________
Name of Your Business: _______________________________________________________________________
Name of Contact at Your Business: _______________________________________________________________________
The Department of Revenue will return your diskette or CD to the contact/address that you specify.
Return Address: _______________________________________________________________________
Street
_______________________________________________________________________
City
_______________________________________________________________________
State
_______________________________________________________________________
ZIP
Telephone Number of Contact: (__________) __________ - __________
Are you sending a diskette or a CD to the Department of Revenue?
Diskette
CD
Total number of records in the file: _________________________________
Florida Department of Revenue
Mail the diskette or CD and this completed form to:
Production Management
5040 W Tharpe St Ste 202
Tallahassee FL 32303-7836
850-488-3516
For general taxpayer information, please call 800-352-3671. Persons with hearing or speech impairments may call
our TDD at 800-367-8331 or 850-922-1115.
Note: Please visit our Internet site at to verify a resale or
exemption certificate. Results are available within 24 hours of submission.