Form Dr-15ez - Sales And Use Tax Return

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DR-15EZ
Sales and Use Tax Return
R. 01/15
Rule 12A-1.097
Florida Administrative Code
Effective 01/15
You may file and pay tax online or you may
complete this return and pay tax by check
or money order and mail to:
Florida Department of Revenue
5050 W Tennessee Street
Tallahassee, FL 32399-0120
Please read the Instructions for DR-15EZ Sales
and Use Tax Returns (Form DR-15EZN) before
you complete this return. Instructions are posted
on our website at
FLORIDA SALES AND USE TAX RETURN
DR-15EZ
R. 01/15
Reporting Period
DOR USE ONLY
Certificate Number:
Surtax Rate:
postmark or hand-delivery date
Location/Mailing Address Changes:
Taxpayer Copy
New Location Address:
Name
Address
City/St
ZIP
Telephone Number: (
)
New Mailing Address:
________________________________________
FLORIDA DEPARTMENT OF REVENUE
,
5050 W TENNESSEE ST
Amount Due From Line 9
TALLAHASSEE FL 32399-0120
On Reverse Side
Check here if payment was made electronically.
Due:
Late After:
9100 0 20159999 0001003043 7 4999999999 0000 5
FLORIDA SALES AND USE TAX RETURN
DR-15EZ
R. 01/15
Reporting Period
DOR USE ONLY
Certificate Number:
Surtax Rate:
postmark or hand-delivery date
Location/Mailing Address Changes:
New Location Address:
Name
Address
City/St
Telephone Number: (
)
ZIP
New Mailing Address:
FLORIDA DEPARTMENT OF REVENUE
,
5050 W TENNESSEE ST
Amount Due From Line 9
TALLAHASSEE FL 32399-0120
On Reverse Side
Check here if payment was made electronically.
Due:
Late After:
9100 0 20159999 0001003043 7 4999999999 0000 5

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