Form Dr-700016 - Florida Communications Services Tax Return

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DR-700016
Florida Communications
R. 01/15
Services Tax Return
Name
Address
City/State/ZIP
BUSINESS PARTNER NUMBER
FEIN
Check here if you are discontinuing your business
and this is your final return (see page 15).
REPORTING PERIOD
Handwritten Example
Typed Example
FROM:
TO:
0 1 2 3 4 5 6 7 8 9
0123456789
Use black ink.
M
M
D
D
Y
Y
Y
Y
M
M
D
D
Y
Y
Y
Y
US Dollars
Cents
1.
Tax due on sales subject to 6.65% state and .15% gross receipts portions
,
,
.
of communications services tax (from Summary of Schedule I, Line 3) ....... 1.
2.
Tax due on sales subject to 2.37% gross receipts portion of
,
,
.
communications services tax (from Summary of Schedule I, Line 6) ........... 2.
3.
Tax due on sales subject to local portion of communications
,
,
.
services tax (from Summary of Schedule I, Line 7) ....................................... 3.
,
,
.
4.
Tax due for direct-to-home satellite services (from Schedule II, Column C) 4.
,
,
.
5.
Total communications services tax (add Lines 1 through 4) ......................... 5.
,
,
.
6.
Collection allowance. Rate:________________ ............................................. 6.
(If rate above is blank, check one) qNone applies q.0025 q.0075
,
,
.
7.
Net communications services tax due (subtract Line 6 from Line 5) ............ 7.
,
,
.
8.
Penalty .......................................................................................................... 8.
,
,
.
9.
Interest .......................................................................................................... 9.
10. Adjustments (from Schedule III, Column G and/or
,
,
.
Check here
Schedule IV, Column U) .............................................................
10.
if negative
,
,
.
11. Multistate credits (from Schedule V) ........................................................... 11.
,
,
.
12. Amount due with return ............................................................................... 12.
AUTHORIZATION
Under
penalties of perjury, I declare that I have read this return and that the facts stated in it are true [ss. 92.525(2), 202.27(5), and 837.06, Florida Statutes].
Type or print name
Authorized signature
Date
Preparer (type or print name)
Preparer’s signature
Date
Contact name (type or print name)
Contact phone number
Contact email address
Payment Coupon
DO NOT DETACH
DR-700016
R. 01/15
To ensure proper credit to your account, attach your check to
this payment coupon. Mail with tax return and all schedules.
DOR USE ONLY
Business Partner Number
Reporting Period
postmark or hand delivery date
Check here if your address or business information
changed and enter changes below.
Business Address
New location address:
__________________________________________
_______________________________________________________________
_______________________________________________________________
Telephone number:
(______) ______________________________________
New mailing address:
___________________________________________
_______________________________________________________________
_______________________________________________________________
Check here if payment was transmitted electronically.
Amount due
,
,
.
from Line 12
Payment is due on the 1
and LATE
st
if postmarked or hand delivered after
9100000999999990006300403107039999999990000002

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