Form Dr-1 - Florida Business Tax Application Page 5

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DR-1
R. 01/15
Page 5
Y
N
26. Do you own or operate a dry-cleaning plant or dry drop-off facility in Florida? .......................................................................................................
If yes, enclose the $30 dry-cleaning registration fee. If no, continue to question 27.
Y
N
27. Do you produce or import perchloroethylene? ...............................................................................................................................................................
If yes, also complete a Florida Fuel or Pollutants Tax Application (Form DR-156). If no, continue to question 28.
Section E - Activities Subject to Reemployment Tax (formerly Unemployment Tax)
(no fee)
NOTE: In addition to registering for Reemployment Tax:
• New Florida employers must register with the Florida New Hire Reporting Center to report newly hired and re-hired employees in Florida, visit
https://newhire.state.fl.us
• Florida employers are required to obtain appropriate workers’ compensation insurance coverage for their employees, visit
Y
N
28. Have you employed or will you employ workers in the state of Florida? ** ...............................................................................................................
If no, skip Section E (questions 29-39).
** Officers performing services for the corporation and receiving payment for such services (salary or distributions) are considered employees of the
corporation for purposes of reemployment tax (RT).
Y
N
29. Is your business already registered and actively paying Florida reemployment tax? ................................................................................................
RT Account Number
If yes, provide your RT Account Number and skip questions 30-39.
Y
N
30. Are you reactivating your reemployment tax account? ................................................................................................................................................
RT Account Number
If yes, provide your RT Account Number.
31. Employment type (check all that apply):
Domestic employer (household & personal care)
Agricultural (noncitrus) employer
Regular employer (employee leasing companies attach
a copy of Department of Business & Professional
Agricultural (citrus) employer
Regulation [DBPR] license)
Indian tribe or Tribal unit
Nonprofit organization (attach a copy of your 501(c)(3)
Governmental entity
Agricultural crew chief
determination letter from the IRS)
FL State agencies provide first six digits of FLAIR Org
Code
32. On what date did you, or will you first employ workers in Florida? **.............................................................................
33. If your employment type is:
a. Regular, Indian tribe/Tribal unit, or Governmental employer
Y
N
Have you or will you pay gross wages of at least $1,500 within a calendar quarter? ** ......................................................................................
If yes, provide the date you reached or will reach $1,500 gross wages: ........................................................
Y
N
Have you or will you employ one or more workers for 20 or more weeks within a calendar year? ** ................................................................
If yes, provide the date of the 20th week: ......................................................................................................
b. Nonprofit organization
Y
N
Have you or will you employ four or more workers for 20 or more weeks within a calendar year? ** ...............................................................
If yes, provide the date of the 20th week: ......................................................................................................
c. Domestic employer
Y
N
Have you or will you pay gross wages of at least $1,000 within a calendar quarter? ** ......................................................................................
If yes, provide the date you reached or will reach $1,000 gross wages: ........................................................
d. Agricultural (non-citrus, citrus, or crew chief) employer
Y
N
Have you or will you pay gross wages of at least $10,000 within a calendar quarter? ** ....................................................................................

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