Form Dr-1214 - Application For Temporary Tax Exemption Permit (Page 2 of 2) in pdf

SECTION II

If claiming exemption as a new business, please answer the following:

Has this business previously applied for this exemption? If so, when? ____________________________________________________

(a) Approximate Beginning and Completion Date of Construction (if construction is necessary):

Beginning Date: ______________________________________

Completion Date: ______________________________________

(b) Approximate Beginning Date of Machinery and Equipment Purchases: _________________________________________________

SECTION III

If claiming exemption as an expanding business, please answer the following:

Has this business previously applied for this exemption? If so, when? ____________________________________________________

(a) Approximate Beginning and Completion Date of Construction (if construction is necessary):

Beginning Date: ______________________________________

Completion Date: ______________________________________

(b) Approximate Beginning Date of Installation of Machinery and Equipment Purchases: ____________________________________

(c) Estimated Date of Completion of Machinery and Equipment Installation: ________________________________________________

Please answer the following regarding productive output for your expansion project.

(a) Specfy the unit of measure that you will use to measure your increase in productive output; i.e., pounds, tons, pieces,

gallons, cubic yards, sheets, etc. (Selling price or labor hours cannot be used.) _______________________________________

________________________________________________________________________________________________________________

(b) What is your expected percent increase in productive output following the expansion project? ____________________________

ADDITIONAL REMARkS

___________________________________________________________________________________________________________________

Important:

A qualifying business entity must file this form whether it seeks to make purchases of machinery and equipment

tax-exempt or seeks a refund of previously paid taxes. To avoid any delays in obtaining the permit or a refund, the

application must be fully completed and returned to the Department of Revenue. A business that seeks a refund

of previously paid tax must file an Application for Refund - Sales and Use Tax (Form DR-26S) within the applicable

statutory limits. See s. 215.26(2), F.S. For additional information, call (850) 617-8346.

_______________________________________ ________________

Mail this form to:

Signature

Date

DIRECTOR

__________________________________________________________

TECHNICAL ASSISTANCE AND DISPuTE RESOLuTION

Print Name

FLORIDA DEPARTMENT OF REVENuE

PO BOx 7443

__________________________________________________________

TALLAHASSEE FL 32314-7443

Title

For Florida Department of Revenue use ONLY — Do not write in this space.

The above project is: (check one)

Approved as a new business

Permit _________________________

_____________________________

Approved as an expanding business

From

Approved as a spaceport activity

Permit Number ________________________________________________

Approved as a mining activity

Not approved for the exemption

Refund

No Permit Issued

_________________________________________________________________

Business Name: _________________________________________________

(Signature of Authorized Agent)

Date

Sales Tax Number: _______________________________________________

Form Dr-1214 - Application For Temporary Tax Exemption Permit Page 2

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