Form Dr-182 Draft - Florida Air Carrier Fuel Tax Return - 2018
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
1100001 0000001
DR-182
Florida Air Carrier Fuel Tax Return
R. 01/15
TC
2018
Rule 12B-5.150
For Calendar Year:
Florida Administrative Code
Effective 01/15
920002018999900320270352300000000100002
DOR USE ONLY
POSTMARK OR HAND-DELIVERY DATE
Check here if filing a supplemental return
FEIN:
Name
Address
License Number:
City/St/ZIP
Collection Period Ending:
Use black ink.
Handwritten Example
Typed Example
0 1 2 3 4 5 6 7 8 9
0123456789
Return Due By
Late After
(See Instructions Beginning on Page 9)
,
,
39. Combined tax due: (Page 3, Line 39) ............................................................................. 39. $
,
,
40. Credit memos issued by the Florida Department of Revenue: ....................................... 40. $
Total Tax Due with Return Calculation
,
,
41. Penalty: .......................................................................................................................... 41. $
,
,
42. Interest: .......................................................................................................................... 42. $
,
,
43. Total due with return: (Line 39 minus Line 40 plus Line 41 plus Line 42). ...................... 43. $
Under penalty of perjury, I declare that I have read this return and the facts stated in it are true.
____________________________________________________________________________________________________________________
Signature of Officer/Owner
Title
Date
____________________________________________________________________________________________________________________
Name of Preparer (Print)
Signature of Preparer
Telephone Number
FEIN
Date
Do Not Detach Coupon
Mail To:
DR-182
Florida Air Carrier Fuel Tax Return Coupon
Florida Department of Revenue
R. 01/15
5050 W Tennessee St
COMPLETE and MAIL with your RETURN/PAYMENT.
Tallahassee FL 32399-0165
Please write your Federal Employer Identification Number (FEIN) on your check.
Be sure to SIGN YOUR CHECK. Make your check payable to:
Florida Department of Revenue
DR-182
FEIN
ENTER BUSINESS NAME:
US Dollars
Cents
DUE WITH
,
,
RETURN (LINE 43)
Name
Address
FOR COLLECTION
City/St/ZIP
M M D D
Y
Y
PERIOD ENDING
Check here if payment was made
electronically.
Do Not Write in the Space Below.
9200 0 20189999 0032027035 2 3000000001 0000 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial