Form Dr-908 - Insurance Premium Taxes And Fees Return

Form Dr-908 - Insurance Premium Taxes And Fees Return - 2014 Page 8

DR-908

R. 01/15

Page 8

Name _____________________________________ FEIN _________________________________ Florida Code _____________

SCHEDULE XII - B

FIREFIGHTERS’ PENSION TRUST FUND

Total Taxable

Code

Municipality/ Fire Control District

Premiums

844

Safety Harbor

590

Lynn Haven

595

Madison

846

St. Augustine

849

St. Cloud

596

Maitland

855

St. Petersburg

602

Mangonia Park

856

St. Pete Beach

603

Marathon

604

Marco Island

865

Sanford

869

Sarasota

607

Marianna

870

Satellite Beach

620

Melbourne

871

Sea Ranch Lakes

626

Miami

627

Miami Beach

874

Sebring

875

Seminole

640

Milton

896

South Pasadena

645

Miramar

900

Starke

649

Monticello

655

Mount Dora

909

Sunrise

916

Tallahassee

666

Naples

918

Tampa

671

Neptune Beach

919

Tamarac

675

New Port Richey

676

New Smyrna Beach

920

Tarpon Springs

921

Tavares

687

North Miami Beach

925

Temple Terrace

690

North Port

926

Tequesta

691

North Redington Beach

693

Oakland Park

930

Titusville

695

Ocala

938

Valparaiso

941

Venice

698

Ocean Ridge

944

Vero Beach

701

Ocoee

706

Okeechobee

946

Village of North Palm Beach

709

Oldsmar

966

West Palm Beach

978

Wilton Manors

722

Orange Park

980

Windermere

725

Orlando

728

Ormond Beach

984

Winter Garden

736

Oviedo

985

Winter Haven

986

Winter Park

743

Palatka

744

Palm Bay

In addition to completing Schedule XII, you must answer

746

Palm Beach Gardens

Question B on Page 2.

747

Palm Beach Shores

748

Palm Coast

Subtotal from Page 7 ......................1.

754

Panama City

755

Panama City Beach

Subtotal from Page 8 ......................2.

761

Parkland

770

Pembroke Pines

Total Tax ..........................................3.

773

Pensacola

[Line 1 plus Line 2 times 1.85% (.0185).

776

Perry

Enter here and on Page 1, Line 6] (If zero or less, enter 0)

787

Pinellas Park

789

Plantation

790

Plant City

796

Pompano Beach

801

Port Orange

Use the physical location of the property when

811

Punta Gorda

allocating premiums to the fire control district or

816

Quincy

824

Redington Beach

municipality. Do NOT use ZIP codes. For more

825

Redington Shores

information, see instructions.

831

Riviera Beach

836

Rockledge

Form Dr-908 - Insurance Premium Taxes And Fees Return - 2014 Page 8

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