Form Dr-15mo - Out-Of-State Purchase Return - Florida Department Of Revenue
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1
2Florida Tax on Purchases
DR-15MO
R. 08/13
Rule 12A-1.097
Florida Administrative Code
Have You Bought or
File and Pay Online
Received Merchandise from
It’s fast, easy, and secure!
Out of State or through
Visit and look for the “Pay
the Internet?
tax on Internet and out-of-state purchases” link. To
pay online, you will need to enter your bank’s routing
number and your bank account number.
You Might Owe Florida Tax.
Instructions for Out-of-State Purchase Return
Line 1.
Enter the total amount paid for all taxable goods you
Line 5.
Interest is due on late returns. A floating rate of
purchased through the Internet, from out of state, in
interest applies to late payments. To obtain the
another country, or through mail-order companies
current floating interest rate, contact Taxpayer
during the quarter for which you are filing this return.
Services at 800-352-3671.
Line 6.
Do not include purchases on which Florida sales or
Enter the total tax and interest due (Line 4 plus
use tax has been paid.
Line 5).
Sign and date the back of the return.
Line 2.
Multiply Line 1 by .06. If the result is less than $1, do
not complete or mail this return.
Mail your return with payment to:
Florida Department of Revenue
Line 3.
If you paid sales tax on these goods to another state,
5050 W Tennessee St
the District of Columbia, or a U.S. territory, enter the
Tallahassee FL 32399-0100
amount paid on L ine 3. You cannot claim credit for
tax paid in a foreign country.
*Social security numbers are used by the Florida Department of Revenue
as unique identifiers for the administration of Florida’s taxes. Social
Line 4.
Subtract Line 3 from Line 2 and enter the result on
security numbers obtained for tax administration purposes are confidential
Line 4. If the result is less than $1, do not complete
under sections 213.053 and 119.071, Florida Statutes, and not subject to
or mail this return.
disclosure as public records. Collection of your social security number is
authorized under state and federal law. For a detailed statement of the
state and federal law governing the collection, use, or release of social
Use black ink. Example A - Handwritten Example B - Typed
security numbers, including authorized exceptions, visit our Internet site at
0 1 2 3 4 5 6 7 8 9
and select “Privacy Notice.”
0123456789
Detach Here
Florida Department of Revenue Out-of-State Purchase Return
DR-15MO
R. 08/13
Do not use this form if you are a registered Florida sales tax dealer or if you purchase an aircraft or boat.
DR-15MO
Purchases made for quarter ending
(see Quarterly Schedule)
DOLLARS
CENTS
,
,
—
—
1. Amount Purchased
Social Security Number*
(Enter total from Schedule of
•
Purchases)
—
,
Federal Employer ID No.
2. Tax
•
(Line 1 x .06)
Purchaser’s Name _______________________________________________________
,
(Print or Type)
3. Less Credits
(Taxes paid)
•
Address ________________________________________________________________
,
4. Total Tax Due
City ____________________________________ State ________ZIP ______________
•
(Line 2 minus Line 3)
,
County _________________________________________________________________
5. Interest
•
DOR uSE ONLy
,
6. Amount Due
-
-
•
(Total of Lines 4 and 5)
9200 0 99999999 0001003087 0 4999999999 0000 5
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