Form Dr-309638 Draft - Exporter Fuel Tax Return - 2018

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0000001
00001
DR-309638
Exporter Fuel Tax Return
R. 01/14
Page 1
2018
For Calendar Year:
TC
Rule 12B-5.150
Florida Administrative Code
Effective 01/14
Handwritten Example
Typed Example
0 1 2 3 4 5 6 7 8 9
0123456789
Use black ink.
IMPORTANT
Complete and return
coupon to the Department
of Revenue.
COMPLETE FORM DR-309638
BEFORE ENTERING INFORMATION
ON THE ATTACHED COUPON.
Mail the original of this form along with coupon
to the:
Florida Department of Revenue
5050 W Tennessee St
Tallahassee FL 32399-0165
Detach
Detach
here
here
Mail To:
Exporter Fuel Tax Return Coupon
DR-309638
Florida Department of Revenue
R. 01/14
2018
For Calendar Year:
5050 W Tennessee St
COMPLETE and MAIL with your RETURN
Tallahassee FL 32399-0165
FEIN
ENTER BUSINESS NAME:
Name
Address
City/St/ZIP
FOR COLLECTION
M M D D
Y
Y
PERIOD ENDING
DR-309638
Do Not Write in the Space Below.
9200 0 20189999 0098027038 1 3000000001 0000 2

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