Form Dr-15ezn Instructions - Sales And Use Tax Returns - Florida Department Of Revenue Page 2

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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:
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:
FIRST!
Complete Back of Return
DOLLARS
CENTS
,
Under penalties of perjury, I declare that I have read this return and
,
1. Gross Sales
the facts stated in it are true.
(Do not include tax)
,
,
2. Exempt Sales
(Include these in
Gross Sales, Line 1)
Signature of Taxpayer
Date
Telephone #
,
3. Taxable Sales/Purchases
(Include Internet/Out-of-State
Purchases)
,
Signature of Preparer
Date
Telephone #
4. Total Tax Due
(Include Discretionary Sales Surtax
from Line B)
,
5. Less Lawful Deductions
Discretionary Sales Surtax Information
,
,
A. Taxable Sales and
6. Less DOR Credit Memo
Purchases NOT Subject
to DISCRETIONARY
,
,
SALES SURTAX
7. Net Tax Due
B. Total Discretionary
Sales Surtax Due
,
8. Less Collection Allowance or
Plus Penalty and Interest
E-file / E-pay to Receive Collection Allowance
,
9. Amount Due With Return
Please do not fold or staple.
(Enter this amount on front)
Due Dates, Electronic Filing and Payment, and Other Filing Information
Due Dates: Tax returns and payments are due on the 1
and late after
st
Zero returns: You must file a tax return for each reporting period,
the 20
day of the month following each reporting period. If the 20
th
th
even if no tax is due.
falls on a Saturday, Sunday, or state or federal holiday, your tax return
Paper filers may Telefile Zero Returns: If you file a paper return, have
must be received electronically, postmarked, or hand-delivered on the
zero tax due, and are not claiming any deductions or credits, you may
first business day following the 20
.
th
telefile by calling 800-550-6713. Telefile is available 24 hours a day,
seven days a week and when you telefile, you do not need to mail your
Due Dates for Initiating Electronic Payments (E-pay): You must
initiate electronic payments no later than 5:00 p.m., ET, on the
paper return. Keep the confirmation number for your records.
business day prior to the 20
. You must send electronic payments
th
Penalty and Interest: Avoid penalty and interest by filing your return
on or before the initiation deadlines. (Check the Calendar of Due
and paying tax on time for each reporting period. The easiest way to
Dates, Form DR-659.) Keep the confirmation/trace number or
avoid most filing/payment errors is to file (e-file) and pay (e-pay) your
acknowledgement in your records.
tax electronically.
2

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