Form Dr-26s - Application For Refund - Sales And Use Tax Page 4

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DR-26S
Florida Department of Revenue
R. 01/08
Application for Refund - Sales and Use Tax
Important Note: Refund requests cannot be processed without complete documentation as suggested.
STOP: YOU MAY TAKE A CREDIT ON YOUR NEXT RETURN INSTEAD OF APPLYING FOR A REFUND (See FAQ # 3)
Your refund application will be rejected if the fields in
red
are not completed. Type or print clearly.
Part 1 Fill in
Name of applicant:
Mailing street address:
Mailing city, state, ZIP:
Location street address:
Location city, state, ZIP:
Business telephone number
Home telephone number
(include area code):
(include area code):
Fax number
E-mail address
(include area code optional):
(optional):
Part 2
Sign and date this form.
Signature of Applicant/representative:
Date:
Print name:
Title:
Important - A Florida Department of Revenue Power of Attorney (Form DR-835) must be properly executed and included if the
refund request is submitted by the applicant’s representative.
Representative’s phone number: ( ________ ) _____________________________
Part 3
$
,
,
.
Enter amount of refund.
Part 4
Contract Object Number
Sales Tax Certificate Number
Provide the
/
identification number
of the applicant. If you
do not have a Sales
Federal Employer Identification Number:
Social Security Number
Tax Certificate Number
or Federal Employer
Identification Number,
provide your Social
Security Number.
Part 5
/
/
Enter the date paid or
Date Paid:
Applied period:
to
the collection period(s)
M
M
D
D
Y
Y
Y
Y
M
M
Y
Y
Y
Y
M
M
Y
Y
Y
Y
on the tax return(s)
used to report the tax.
Part 6
YOU MAY TAKE A CREDIT ON YOUR NEXT RETURN INSTEAD OF APPLYING FOR A REFUND (See FAQ #3)
Refer to the Page (pg)
Explain the reason for this refund & check appropriate box below
number indicated
_________________________________________________________________________________________________________________________
for appropriate
documentation
_________________________________________________________________________________________________________________________
instructions.
Amended Return (070) pg 5
Rental of Real Property
Duplicate Payment (001) pg 6
Exempt Issues (071) pg 8
(1270) pg 10
Audit Overpayment (050) pg 5
Estimated Tax (1201) pg 6
Gross Receipts pg 8
Repossession (1350)
Bad Debt (1300) pg 5
Enterprise Zone Brownfield pg 7
Lemon Law (1217) pg 8
pg 10
Community Contribution Tax
Enterprise Zone Building Materials
Motor Vehicles/Boat/Mobile Home/
Other pg 10 ( attach
Credit (1225) pg 6
(1102) pg 7
Aircraft (1210) pg 9
explanation)
Credit Memos (065) pg 6
Enterprise Zone Equipment (1103) pg 7
New & Expanding Business (1105) pg 6
FOR FLORIDA DEPARTMENT OF REVENUE USE ONLY
MAIL TO:
FLORIDA DEPARTMENT OF REVENUE
REFUNDS SUB-PROCESS
Refund Approval Amount $
Authorized By
Date
PO BOX 6490
TALLAHASSEE FL 32314 - 6490
Review Refund Amount $
Approved By
Date
FAX: 850-410-2526

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