DR-15SW
R. 01/15
Solid Waste and Surcharge Return
Rule 12A-16.008
Florida Administrative Code
Complete back of return FIRST!
You may file and pay the gross receipts tax on
dry-cleaning/laundering, new tire fee, lead-acid
battery fee, or rental car surcharge online or you
may complete this return and pay by check or
money order and mail to:
Florida Department of Revenue
5050 W Tennessee St
Tallahassee, FL 32399-0120
Please read the Instructions for DR-15SW
Solid Waste and Surcharge Returns (Form
DR-15SWN) before you complete this return.
Instructions are posted on our website at:
Solid Waste and Surcharge Return
DR-15SW
HD/PM DATE:
R. 01/15
Certificate Number
Reporting Period
DR-15SW
,
,
.
5. Total tax, fees, and
surcharges due (from
Line 5 on reverse side)
,
,
.
Name
Address
6. Less credits
City/St
,
,
.
ZIP
7. Net amount due
,
,
.
8. Plus penalty
,
,
.
9. Plus interest
FLORIDA DEPARTMENT OF REVENUE
,
,
.
5050 W TENNESSEE ST
10. Amount due with return
TALLAHASSEE FL 32399-0120
Due:
Late After:
9100 0 20159999 0038003031 8 4999999999 0000 5
Check here if payment was
made electronically.
Solid Waste and Surcharge Return
DR-15SW
HD/PM DATE:
R. 01/15
Certificate Number
Reporting Period
DR-15SW
,
,
.
5. Total tax, fees, and
surcharges due (from
Line 5 on reverse side)
,
,
.
Name
Address
6. Less credits
City/St
,
,
.
ZIP
7. Net amount due
,
,
.
8. Plus penalty
,
,
.
9. Plus interest
FLORIDA DEPARTMENT OF REVENUE
,
,
.
5050 W TENNESSEE ST
TALLAHASSEE FL 32399-0120
10. Amount due with return
Due:
Late After:
9100 0 20159999 0038003031 8 4999999999 0000 5
Check here if payment was
made electronically.