Form Dr-145 - Oil Production Monthly Tax Return - Florida Department Of Revenue
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6Mail to:
DR-145
Oil Production Monthly Tax Return
Florida Department of Revenue
R. 07/12
5050 W Tennessee St
Page 1
Tallahassee Florida 32399-0150
Rule 12B-7.008
Florida Administrative Code
Effective 05/13
Use black ink. Example A - Handwritten Example B - Typed
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0123456789
Certificate #
:
FEIN
:
Applied Period
:
Name
Return Due Date :
Address
City/St/ZIP
DOR USE ONLY
POSTMARK OR HAND-DELIVERY DATE
Tax Due with Return Calculation
Complete Return Schedules First
US DOLLARS
CENTS
,
,
27. Gross Tax Due
.......................................... $
(Enter the sum of Line 8, Line 16, Line 23, and Line 26)
,
,
28. Credit for Contributions to Nonprofit Scholarship Funding Organizations. ..... $
,
,
29. DOR Credit Memo Issued
.................................................... $
(attach original credit memo)
,
,
30. Total Tax Due .......................................................................................................... $
,
,
31. Penalty .................................................................................................................... $
,
,
32. Interest .................................................................................................................... $
,
,
33. Total Due with Return ........................................................................................... $
Under penalties of perjury, I declare that I have read the foregoing and the facts stated in it are true.
___________________________________________________________________________________________________________________________________________
Signature of officer
Title
Phone number
Date
___________________________________________________________________________________________________________________________________________
Signature of preparer
Address of preparer
Phone number
Date
Do Not Detach Coupon
DR-145
Oil Production Monthly Tax Return
R. 07/12
Enclose your payment coupon and check with your tax return to ensure your account is properly credited.
Return is due on the 25
day of the following month.
th
Period
M
M
D
D Y
Y
US DOLLARS
CENTS
Ending
,
,
Total amount due
from Line 33
Check here if you transmitted funds electronically.
Enter name and address, if not preprinted:
FEIN
Enter FEIN if not preprinted
Name
Address
City/St/ZIP
DR-145
Do Not Write in the Space Below.
0600 0 20120131 0052037031 7 4000012345 6789 3
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